OC Perfect Smile – Nondiscrimination and Language Assistance Notice
OC Perfect Smile complies with applicable federal and California civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). We do not exclude people or treat them differently because of any protected characteristic.
Services We Provide
OC Perfect Smile provides the following to patients free of charge:
- Language assistance services, including qualified interpreters and information translated into other languages.
- Auxiliary aids and services, such as written information in other formats (e.g., large print, audio, accessible electronic formats) for individuals with disabilities.
To request these services, please call us at (949) 837-7112 or use TTY/TDD by dialing 711.
How to File a Discrimination Complaint
If you believe that OC Perfect Smile has failed to provide these services or discriminated in any way based on race, color, national origin, age, disability, or sex, you can file a grievance with:
Office Manager – Civil Rights Coordinator
OC Perfect Smile
Address: 24953 Paseo De Valencia, #3c, Laguna Hills, CA 92653
Phone: (949) 837-7112
TTY: 711
Email: ocperfectsmile@gmail.com
You can also file a civil rights complaint directly with:
U.S. Department of Health and Human Services, Office for Civil Rights (OCR):
- Online: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
- Phone: 1-800-368-1019 | TTY: 1-800-537-7697
- Mail: U.S. Department of Health & Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
California Department of Health Care Services, Office of Civil Rights:
- Phone: (916) 440-7370
- TTY: 711
- Email: CivilRights@dhcs.ca.gov
Language Assistance
ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Call (949) 837-7112 (TTY: 711).