Widner Family Dentistry
Family and Cosmetic Dentistry


Widner Family Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Widner Family Dentistry does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Widner Family Dentistry:

• 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, other 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 Leslie Wolf.

If you believe that Widner Family Dentistry 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:

Leslie Wolf  

509 Main Street West

Hartselle, AL  35640


Fax: 256-751-0924


You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Leslie Wolf 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 (TDDComplaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.


Language Assistance Services - Alabama

ATTENTION: If you speak a language listed below, language assistance services, free of charge, are available to you.


CMS, Top 15 non-English Languages by State is available at: https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Appendix-A-Top-15.pdf

Translated taglines available at: https://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/index.html

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