712.792.4375

703 Simon Ave, Carroll, Iowa 51401

Non-discrimination Notice

We're all about sharing smiles, from our friendly staff to our comfortable and advanced clinic.

Discrimination is Against the Law.

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

Carroll Dental Clinic.

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:

  • Delta Dental of Iowa Language Line Services
  • Information written in other languages

If You Need These Services, Contact Kim Wilkie. 

If you believe that Carroll Dental Clinic 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 Civic Rights Coordinator.

Kim Wilkie,
703 Simon Avenue, Carroll, Iowa, 51401.
Phone: 712-792-4375, Fax: 712-792-3371
email: manager@carrollsmiles.com.

You Can File a Grievance in Person, by Mail, Fax, or Email.

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.

Language Assistance Services.

We will take reasonable steps to provide free-of-charge language assistance services to people who speak languages we are likely to hear in our practice and who don’t speak English well enough to talk to us about the dental care we are providing. To view this statement in the top 15 languages spoken in Iowa CLICK HERE.

 

 

 

We look Forward to meeting you

Feel free to contact us to learn more or request an appointment

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