© 2 0 1 9  M A R T I N  F A M I L Y & C O S M E T I C D E N T I S T R Y 

N O N   D I S C R I M I N A T I ON POLICY

Discrimination is against the law

Dr. Kathryn A Kell and Dr. Rachael Marting comply with applicable federal civil rights laws and o not discriminate on the basis of race, color, national origin, age, disability or sex. Dr. Kathryn A Kell and Dr. Rachael Martin do not exclude people or tread them differently because of their race, color, national origin, age, disability or sex.

Dr. Kathryn A Kell and Dr. Rachael Martin provide:

Free aids and services to people with disabilities so they may communicate effectively with us, such as:

Qualified sign language interpreters

Written information in other formats (large print, audio, accessible electronic formats, other formats)

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, call 563-355-6626

If you believe that Dr. Kathryn A Kell and Dr. Rachael Martin have 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 Cindy Palmer: in person or via mail at 1751 E. 54th Street, Davenport, Iowa 52807; by phone at 563-355-6626; by email at kellddspc@drkelldds.com or via fax at 563-359-7636.

You can also file a civil rights complaint with the U.S. Department of Health and Human services, Office for Civi 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 Independaence 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