Terms & Conditions – Front Range Dermatology
Front Range Dermatology complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Front Range Dermatology Associates does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Front Range Dermatology Associates provides free aids and services to people with disabilities to communicate effectively with us, such as:
• Written information in other formats
• Provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages.
If you need these services, contact:
Michele Blum, Practice Manager, and Civil Rights Coordinator
If you believe that Front Range Dermatology Associates has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Front Range Dermatology Associates
Attn: Michele Blum, Practice Manager and Civil Rights Coordinator
PO Box 69
Timnath, CO 80547
You may file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Michele Blum, Practice Manager and Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services 200
Independence Avenue, SW
Room 509F, HHH Building Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
For any questions concerning our terms and conditions, please contact firstname.lastname@example.org.