Wahoo Dental Associates
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    • Cancellation Policy
    • HIPAA
    • Refund Policy
  • Orthodontic Referral
  • Patient Forms
    • Patient Information
    • Insurance Information
    • Dental History
    • Medical History
    • HIPAA Auth and Acknowledgements
    • Email and SMS Communication Release
    • Registration Acknowledgement
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Discrimination is Against the Law
 
Wahoo Dental Associates complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
 
Wahoo Dental Associates does not exclude people or treat them differently because of race, color, national origin, age, disability,
or sex.
 
Wahoo Dental Office
  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages If you need these services, contact Jason Glock, DDS.
 
If you believe that Wahoo Dental 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 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.
 
 
 
 

Notice of Non-Discrimination
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  • Home
  • Our Office
    • About Us
    • Meet Your Dentist
  • Office Policies
    • Financial Policy
    • Cancellation Policy
    • HIPAA
    • Refund Policy
  • Orthodontic Referral
  • Patient Forms
    • Patient Information
    • Insurance Information
    • Dental History
    • Medical History
    • HIPAA Auth and Acknowledgements
    • Email and SMS Communication Release
    • Registration Acknowledgement
  • Contact Us
  • Pay Online