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Translation Information
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English - ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Español (Spanish) - ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Português (Portuguese) - ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Polski (Polish) - UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-855-CTDENTAL (1-855-283-3682). TTY: 711
繁體中文 (Chinese) - 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Italiano (Italian) - ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Français (French) - ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Kreyòl Ayisyen (French Creole) - ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Русский (Russian) - ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-855-CTDENTAL (1-855-283-3682). TTY: 711
Tiếng Việt (Vietnamese) - CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-855-CTDENTAL (1-855-283-3682). TTY: 711
العربية (Arabic) - ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-(رقم
هاتف الصم والبكم: 1-.
한국어 (Korean) - 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-855-CTDENTAL (1-855-283-3682). TTY: 711 번으로 전화해 주십시오.
Shqip (Albanian) - KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-855-CTDENTAL (1-855-283-3682). TTY: 711
हिंदी (Hindi) - ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-855-CTDENTAL (1-855-283-3682). TTY: 711 पर कॉल करें।
Tagalog (Tagalog – Filipino) - PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-855-CTDENTAL (1-855-283-3682). TTY: 711
λληνικά (Greek) - ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-855-CTDENTAL (1-855-283-3682). TTY: 711
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English
Discrimination is Against the Law
The Connecticut Dental Health Partnership complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Connecticut Dental Health Partnership does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
The Connecticut Dental Health Partnership:
• 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 us.
If you believe that The Connecticut Dental Health Partnership 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:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, [Name and Title of Civil Rights Coordinator] 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 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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Español (Spanish)
Discrimination is Against the Law
The Connecticut Dental Health Partnership cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. The Connecticut Dental Health Partnership no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo.
The Connecticut Dental Health Partnership:
• Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:
○ Intérpretes de lenguaje de señas capacitados.
○ Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos).
• Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes:
○ Intérpretes capacitados.
○ Información escrita en otros idiomas.
Si necesita recibir estos servicios, comuníquese con.
Si considera que The Connecticut Dental Health Partnership no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Puede presentar el reclamo en persona o por correo postal, fax o correo electrónico. Si necesita ayuda para hacerlo, Compliance Officer está a su disposición para brindársela.
También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación:
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)
Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html
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Português (Portuguese)
Discrimination is Against the Law
The Connecticut Dental Health Partnership cumpre as leis de direitos civis federais aplicáveis e não exerce discriminação com base na raça, cor, nacionalidade, idade, deficiência ou sexo. The Connecticut Dental Health Partnership não exclui ou trata de forma diferente devido à raça, cor, nacionalidade, idade, deficiência ou sexo.
The Connecticut Dental Health Partnership:
• Faculta ajuda e serviços gratuitos a pessoas com dificuldades de comunicar de forma eficaz connosco, tais como:
○ Intérpretes de língua gestual qualificados
○ Informação escrita noutros formatos (impressão maior, áudio, formatos electrónicos acessíveis, outros formatos)
• Faculta serviços linguísticas grátis a pessoas cuja língua principal não é inglês, tais como:
○ Intérpretes qualificados
○ Informação escrita noutros idiomas
Se necessita destes serviços, contacte The Connecticut Dental Health Partnership
Se considera que a The Connecticut Dental Health Partnership não cumpriu estes serviços ou exerceu discriminação de outra forma com base na raça, cor, nacionalidade, idade, deficiência ou sexo, pode apresentar uma reclamação junto de:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Pode apresentar uma reclamação pessoalmente ou por correio, fax ou e-mail. Se precisar de ajuda para efectuar a reclamação, o/a Compliance Officer estará disponível para o/a auxiliar.
Pode também apresentar uma reclamação de direitos civis junto do U.S. Department of Health and Human Services (Departamento de Saúde e dos Serviços Humanos dos Estados Unidos da América), Office for Civil Rights (Gabinete de Direitos Civis), por via electrónica através do Office for Civil Rights Complaint Portal, disponível em https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, ou por correio ou telefone:
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)
Os formulários de reclamações encontram-se disponíveis em http://www.hhs.gov/ocr/office/file/index.html.
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Polski (Polish)
Discrimination is Against the Law
The Connecticut Dental Health Partnership postępuje zgodnie z obowiązującymi federalnymi prawami obywatelskimi i nie dopuszcza się dyskryminacji ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć. The Connecticut Dental Health Partnership nie wyklucza żadnych osób i nie stosuje różnego traktowania ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.
The Connecticut Dental Health Partnership:
• Zapewnia bezpłatną pomoc i usługi osobom niepełnosprawnym w celu umożliwienia skutecznej komunikacji, na przykład:
○ Wykwalifikowanych tłumaczy języka migowego
○ Informacje na piśmie w różnych formatach (duży druk, audio, dostępne formaty elektroniczne, inne formaty)
• Zapewnia bezpłatne usługi językowe dla osób, dla których angielski nie jest pierwszym językiem, na przykład:
○ Wykwalifikowanych tłumaczy
○ Informacje na piśmie w innych językach
Jeżeli chcesz skorzystać z tych usług, skontaktuj się z Compliance Officer.
Jeżeli uważasz, że The Connecticut Dental Health Partnership nie świadczy tych usług lub w inny sposób dopuszcza się dyskryminacji ze względu na rasę, koloru skóry, pochodzenie, wiek, niepełnosprawność bądź płeć, możesz złożyć skargę do:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Skargę można złożyć osobiście, za pośrednictwem poczty tradycyjnej, elektronicznej lub faksu. Jeżeli potrzebujesz pomocy w złożeniu skargi, Compliance Officer może w tym pomóc.
Skargę obywatelską można również złożyć w U.S. Department of Health and Human Services (Departamentu Zdrowia i Opieki Społecznej Stanów Zjednoczonych), Office for Civil Rights (Biuro Praw Obywatelskich), drogą elektroniczną za pośrednictwem Office for Civil Rights Complaint Portal na stronie https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, pocztą tradycyjną lub dzwoniąc pod numer telefonu:
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)
Formularze skarg są dostępne na stronie http://www.hhs.gov/ocr/office/file/index.html.
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繁體中文 (Chinese)
Discrimination is Against the Law
The Connecticut Dental Health Partnership 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。The Connecticut Dental Health Partnership 不因種族、膚色、民族血統、年齡、殘障或性別而排斥任何人或以不同的方式對待他們。
The Connecticut Dental Health Partnership：
• 向殘障人士免費提供各種援助和服務，以幫助他們與我們進行有效溝通，如：
○ 合格的手語翻譯員
○ 以其他格式提供的書面資訊（大號字體、音訊、無障礙電子格式、其他格式）
• 向母語非英語的人員免費提供各種語言服務，如：
○ 合格的翻譯員
○ 以其他語言書寫的資訊
如果您需要此類服務，請聯絡 Compliance Officer.
如果您認為 The Connecticut Dental Health Partnership 未能提供此類服務或者因種族、膚色、民族血統、年齡、殘障或性別而透過其他方式歧視您，您可以向
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
.
您可以親自提交投訴，或者以郵寄、傳真或電郵的方式提交投訴。如果您在提交投訴方面需要幫助，Compliance Officer 可以幫助您。
您還可以向 U.S. Department of Health and Human Services（美國衛生及公共服務部）的 Office for Civil Rights（民權辦公室）提交民權投訴，透過 Office for Civil Rights Complaint Portal 以電子方式投訴：https://ocrportal.hhs.gov/ocr/portal/lobby.jsf，或者透過郵寄或電話的方式投訴：
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)（聾人用電信設備）
登入 http://www.hhs.gov/ocr/office/file/index.html 可獲得投訴表格.
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Italiano (Italian)
Discrimination is Against the Law
The Connecticut Dental Health Partnership è conforme a tutte le leggi federali vigenti in materia di diritti civili e non pone in essere discriminazioni sulla base di razza, colore, origine nazionale, età, disabilità o sesso. The Connecticut Dental Health Partnership non esclude le persone o le tratta diversamente a causa di razza, colore, origine nazionale, età, disabilità o sesso.
The Connecticut Dental Health Partnership:
• Offre sostegni e servizi gratuiti alle persone affette da disabilità per comunicare con noi in modo efficace, quali:
○ Interpreti qualificati nella lingua dei segni
○ Informazioni scritte in altri formati (stampe a grandi caratteri, audio, formati elettronici accessibili, altri formati)
• Offre servizi linguistici gratuiti alle persone la cui lingua primaria non è l'inglese, quali:
○ Interpreti qualificati
○ Informazioni scritte in altre lingue
In caso si necessiti di tali servizi, contattare Compliance Officer
In caso si ritenga che The Connecticut Dental Health Partnership non abbia offerto tali servizi o abbia posto in essere discriminazioni in altri modi sulla base di razza, colore, origine nazionale, età, disabilità o sesso, è possibile presentare una vertenza a:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
È possibile presentare una vertenza di persona o a mezzo posta, fax oppure e-mail. In caso si necessiti di aiuto per la presentazione della vertenza, Compliance Officer è disponibile a fornire assistenza.
È altresì possibile presentare un reclamo per i diritti civili allo U.S. Department of Health and Human Services (Dipartimento statunitense per la salute e i servizi umani), Office for Civil Rights (Ufficio per i diritti civili), elettronicamente mediante il Office for Civil Rights Complaint Portal, disponibile all'indirizzo https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oppure a mezzo posta o telefono all'attenzione di:
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)
I moduli di reclamo sono disponibili all'indirizzo http://www.hhs.gov/ocr/office/file/index.html.
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Français (French)
Discrimination is Against the Law
The Connecticut Dental Health Partnership respecte les lois fédérales en vigueur relatives aux droits civiques et ne pratique aucune discrimination basée sur la race, la couleur de peau, l'origine nationale, l'âge, le sexe ou un handicap.
The Connecticut Dental Health Partnership n'exclut et ne traite aucune personne différemment en raison de sa race, sa couleur de peau, son origine nationale, son âge, son sexe ou son handicap.
The Connecticut Dental Health Partnership :
• Fournit gratuitement des aides et services aux personnes handicapées afin de permettre une communication efficace avec nous, par exemple :
○ Interprètes qualifiés en langue des signes
○ Informations écrites dans d'autres formats (gros caractères, audio, formats électroniques accessibles, autres formats)
• Fournit gratuitement des services linguistiques aux personnes dont la langue principale n'est pas l'anglais, par exemple :
○ Interprètes qualifiés
○ Informations écrites dans d'autres langues
Si vous avez besoin de ces services, contactez Compliance Officer
Si vous pensez que The Connecticut Dental Health Partnership n'a pas fourni ces services ou a fait preuve d'une autre forme de discrimination basée sur la race, la couleur de peau, l'origine nationale, l'âge, le sexe ou le handicap, vous pouvez déposer une réclamation auprès de:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Vous pouvez déposer une réclamation en personne ou par courrier, télécopie ou e-mail. Si vous avez besoin d'aide pour déposer une réclamation, Compliance Officer, se tient à votre disposition pour vous y aider.
Vous pouvez également déposer une réclamation concernant vos droits civiques auprès de l'U.S. Department of Health and Human Services (Département de la Santé et des Services Sociaux des États-Unis), Office for Civil Rights (Bureau des Droits Civiques), par voie électronique via l'Office for Civil Rights Complaint Portal, disponible à l'adresse https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, par courrier ou par téléphone à :
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)
Des formulaires de réclamation sont disponibles à l'adresse http://www.hhs.gov/ocr/office/file/index.html.
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Kreyòl Ayisyen (French Creole)
Discrimination is Against the Law
The Connecticut Dental Health Partnership konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. The Connecticut Dental Health Partnership pa ekskli moun oswa trete yo nan fason ki diferan akoz ras, koulè, peyi orijin, laj, enfimite oswa sèks yo.
The Connecticut Dental Health Partnership:
• Bay èd ak sèvis gratis pou moun ki andikape pou yo kominike avèk nou nan fason ki efikas, tankou:
○ Enèprèt langaj siy ki kalifye
○ Enfòmasyon ekri nan lòt fòma (gwo lèt, odyo, fòma elektwonik ki aksesib, lòt fòma)
• Bay sèvis lang gratis a moun lang prensipal yo pa Anglè, tankou:
○ Enèprèt kalifye
○ Enfòmasyon ki ekri nan lòt lang
Si w bezwen sèvis sa yo, kontakte Compliance Officer.
Si w kwè The Connecticut Dental Health Partnership pa t bay sèvis sa yo oswa te fè diskriminasyon nan yon lòt fason sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks, ou ka depoze yon plent nan:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Ou ka depoze yon plent an pèsòn oswa pa lapòs, pa faks oswa pa imel. Si w bezwen èd pou w depoze yon plent Compliance Officer disponib pou ede w.
Ou ka depoze yon plent pou dwa sivil tou nan U.S. Department of Health and Human Services, (Ministè Sèvis Sante ak Imen Ameriken), Office for Civil Rights (Biwo Dwa Sivil) atravè Office for Civil Rights Portal, pa mwayen elektwonik ki disponib nan https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oswa pa lapòs oswa:
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)
Fòmilè pou plent yo disponib nan http://www.hhs.gov/ocr/office/file/index.html.
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Русский (Russian)
Discrimination is Against the Law
The Connecticut Dental Health Partnership соблюдает применимое федеральное законодательство в области гражданских прав и не допускает дискриминации по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола. The Connecticut Dental Health Partnership не исключает людей и не относится к ним по-разному из-за расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола.
The Connecticut Dental Health Partnership:
• Для эффективного взаимодействия предоставляет безвозмездную помощь и оказывает услуги людям с ограниченными возможностями, а именно:
○ услуги квалифицированных сурдопереводчиков;
○ письменную информацию в других форматах (крупный шрифт, аудио формат, доступные электронные форматы, прочие форматы).
• Предоставляет бесплатные услуги перевода людям, для которых английский не является основным языком, а именно:
○ услуги квалифицированных переводчиков;
○ письменную информацию на других языках.
Если вы нуждаетесь в таких услугах, обратитесь к Compliance Officer.
Если вы считаете, что в The Connecticut Dental Health Partnership вам не предоставили указанных услуг или иным образом дискриминировали вас по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола, вы можете подать жалобу:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Вы можете подать жалобу лично или отправить по почте, факсу или электронной почте. Если вам нужна помощь в подаче жалобы, вам поможет Compliance Officer.
Вы также можете подать жалобу о нарушении гражданских прав в U.S. Department of Health and Human Services (Министерство здравоохранения и социальных служб США), Office for Civil Rights (Управление по гражданским правам), в электронном виде через Office for Civil Rights Complaint Portal, доступный по ссылке: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, по почте или по телефону:
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)
Бланки жалобы доступны по адресу: http://www.hhs.gov/ocr/office/file/index.html.
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Tiếng Việt (Vietnamese)
Discrimination is Against the Law
The Connecticut Dental Health Partnership tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính. The Connecticut Dental Health Partnership không loại trừ mọi người hoặc đối xử với họ khác biệt vì chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.
The Connecticut Dental Health Partnership:
• Cung cấp dịch vụ hỗ trợ miễn phí cho những người khuyết tật để giao tiếp với chúng tôi có hiệu quả, như:
○ Thông dịch viên ngôn ngữ ký hiệu đủ năng lực
○ Thông tin bằng văn bản ở các định dạng khác (chữ in lớn, âm thanh, định dạng điện tử có thể tiếp cận, các định dạng khác)
• Cung cấp miễn phí các dịch vụ ngôn ngữ cho những người có ngôn ngữ chính không phải là tiếng Anh, như:
○ Thông dịch viên đủ năng lực
○ Thông tin được trình bày bằng ngôn ngữ khác
Nếu bạn cần những dịch vụ này, hãy liên hệ Compliance Officer
Nếu bạn tin rằng The Connecticut Dental Health Partnership không cung cấp những dịch vụ này hoặc phân biệt đối xử theo cách khác dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính, bạn có thể nộp đơn khiếu nại với:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Bạn có thể trực tiếp nộp đơn khiếu nại hoặc gửi qua đường bưu điện, chuyển fax, hoặc email. Nếu bạn cần trợ giúp nộp đơn khiếu nại, Compliance Officer sẵn sàng giúp bạn.
Bạn cũng có thể nộp đơn khiếu nại về dân quyền lên U.S. Department of Health and Human Services (Bộ Y Tế và Dịch Vụ Nhân Sinh Hoa Kỳ), Office for Civil Rights (Văn Phòng Dân Quyền) bằng hình thức điện tử qua Office for Civil Rights Complaint Portal, có trên trang https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, hoặc qua đường bưu điện hoặc bằng điện thoại tại:
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)
Các mẫu khiếu nại có trên trang http://www.hhs.gov/ocr/office/file/index.html.
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Discrimination is Against the Law
يلتزم The Connecticut Dental Health Partnership
بقوانين الحقوق المدنية الفدرالية المعمول بها ولا يميز على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو نوع الجنس. لا يستبعد The Connecticut Dental Health Partnership الأشخاص أو يعاملهم على نحو مختلف بسبب النوع أو اللون أو الأصل الوطني أو السن أو الإعاقة أو نوع الجنس.
The Connecticut Dental Health Partnership:
• يوفر مساعدات وخدمات مجانية للأشخاص من ذوي الإعاقات للتواصل بصورة فعالة معنا، مثل:
○ مترجمي لغة إشارة مؤهلين
○ معلومات كتابية بتنسيقات أخرى (مطبوعة بأحرف كبيرة، مواد صوتية، تنسيقات إلكترونية متيسرة، وغير ذلك من التنسيقات)
• يوفر خدمات لغوية مجانية للأشخاص الذين لغتهم الأساسية ليست الإنجليزية، مثل:
○ مترجمين مؤهلين
○ معلومات مكتوبة بلغات أخرى
إذا كنت بحاجة لهذه الخدمات، اتصل بـ Compliance Officer
إذا كنت تعتقد أن The Connecticut Dental Health Partnership قد أخفق في توفير تلك الخدمات أو ميز بطريقة أخرى على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو الجنس، يمكن أن تتقدم بشكوى إلى:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
مكن أن تتقدم بشكوى شخصيًا أو بالبريد أو بالفاكس أو البريد الإلكتروني. إذا كنت بحاجة للمساعدة في التقدم بشكوى، فإن Compliance Officer متاح لمساعدتك.
يمكن أيضًا أن تتقدم بشكوى إلكترونيًا لوزارة Department of Health and Human Services (وزارة الخدمات الصحية والبشرية) ، مكتب Office for Civil Rights (مكتب الحقوق المدنية)، من خلال مكتب Office for Civil Rights Complaint Portal، المتوفر على الرابط https://ocrportal.hhs.gov/ocr/portal/lobby.jsf أو بالبريد أو الهاتف على:
Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-863-1019, 800-537-7697 (رقم هاتف الصم والبكم)
تتوافر نماذج الشكاوى على الرابط http://www.hhs.gov/ocr/office/file/index.html.
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한국어 (Korean)
Discrimination is Against the Law
The Connecticut Dental Health Partnership은(는) 관련 연방 공민권법을 준수하며 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 차별하지 않습니다. The Connecticut Dental Health Partnership은(는) 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 누군가를 배제하거나 다른 방식으로 대우하지 않습니다.
The Connecticut Dental Health Partnership:
• 장애인들이 저희와 효과적으로 의사소통할 수 있도록 다음과 같은 무료 지원과 서비스를 제공합니다.
○ 자격있는 수화 통역자
○ 다른 형식의 서면 정보(큰 활자, 음성, 사용 가능한 전자 형식, 기타 형식)
• 주로 사용하는 언어가 영어가 아닌 이들에게는 다음과 같은 무료 언어 서비스를 제공합니다.
○ 자격있는 통역자
○ 다른 언어로 작성된 서면 정보
이러한 서비스가 필요하시면 Compliance Officer에 연락하십시오.
The Connecticut Dental Health Partnership이(가) 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 이러한 서비스를 제공하지 않거나 다른 방식으로 차별했다고 생각하시는 경우
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
(으)로 연락하여 불만을 제기하실 수 있습니다. 직접 방문하거나 우편, 팩스 또는 이메일로 불만을 제기하실 수 있습니다. 불만 제기와 관련하여 도움이 필요하시면, Compliance Officer(으)로부터 지원을 받으실 수 있습니다.
또한 공민권 민원을 미국 Department of Health and Human Services(보건복지부), Office for Civil Rights(시민권 사무국)에 https://ocrportal.hhs.gov/ocr/portal/lobby.jsf에 있는 시민권 사무국 민원 포털을 통해 전자 방식으로 제출하거나 우편이나 전화로 제출할 수 있습니다. 주소 및 연락처는 다음과 같습니다.
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)
민원 양식은 http://www.hhs.gov/ocr/office/file/index.html에 있습니다.
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Shqip (Albanian)
Discrimination is Against the Law
The Connecticut Dental Health Partnership vepron në përputhje me ligjet e zbatueshme federale të të drejtave civile dhe nuk ushtron diskriminim mbi baza si raca, ngjyra, prejardhja etnike, mosha, aftësia e kufizuar ose gjinia. The Connecticut Dental Health Partnership nuk i përjashton personat ose nuk i trajton ata në mënyrë të diferencuar për shkak të racës, ngjyrës, prejardhjes etnike, moshës, aftësisë së kufizuar ose gjinisë.
The Connecticut Dental Health Partnership:
• Ofron ndihmë dhe shërbime falas për personat me aftësi të kufizuara për të komunikuar në mënyrë efektive me ne, si p.sh.:
○ Interpretues të kualifikuar të gjuhës së shenjave
○ Informacione me shkrim në formate të tjera (me germa të mëdha, audio, formate elektronike të aksesueshme, formate të tjera)
• Ofron shërbime gjuhësore falas për personat që nuk kanë anglishten si gjuhë të parë të tyren, si p.sh.:
○ Interpretues të kualifikuar
○ Informacione me shkrim në gjuhë të tjera
Nëse ju nevojiten këto shërbime, kontaktoni me Compliance Officer
Nëse besoni se The Connecticut Dental Health Partnership ka dështuar në ofrimin e këtyre shërbimeve apo ju ka diskriminuar në një mënyrë tjetër në bazë të racës, ngjyrës, prejardhjes etnike, moshës, aftësisë së kufizuar apo gjinisë, ju mund të depozitoni një ankesë pranë:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Ankesën mund ta depozitoni personalisht ose ta dërgoni me postë, faks ose email. Nëse ju nevojitet ndihmë për depozitimin e një ankese, [Name and Title of Civil Rights Coordinator] do të jetë në dispozicionin tuaj për t'ju ndihmuar.
Ju mund të depozitoni gjithashtu një ankesë për të drejtat civile pranë U.S. Department of Health and Human Services (Departamenti Amerikan i Shërbimeve të Shëndetit dhe Njeriut), Office for Civil Rights (Zyra për të Drejtat Civile), në mënyrë elektronike përmes Office for Civil Rights Complaint Portal, që gjendet në adresën https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, ose me postë apo telefon në:
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)
Formularët e ankesave gjenden në adresën http://www.hhs.gov/ocr/office/file/index.html.
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हिंदी (Hindi)
Discrimination is Against the Law
The Connecticut Dental Health Partnership लागू होने योग्य संघीय नागरिक अधिकार क़ानून का पालन करता है और जाति, रंग, राष्ट्रीय मूल, आयु, विकलांगता, या लिंग के आधार पर भेदभाव नहीं करता है। The Connecticut Dental Health Partnership जाति, रंग, राष्ट्रीय मूल, आयु, विकलांगता, या लिंग के आधार पर लोगों को बाहर या उनके साथ अलग तरह का बर्ताव नहीं करता है।
The Connecticut Dental Health Partnership:
• विकलांग लोगों को हमारे साथ प्रभावशाली ढंग से संवाद करने के लिए निःशुल्क सहायता और सेवाएं प्रदान करता है, जैसे:
○ योग्यताप्राप्त सांकेतिक भाषा दुभाषिया
○ अन्य फॉर्मेट (बड़े प्रिंट, ऑडियो, सुलभ इलेक्ट्रॉनिक फॉर्मेट, अन्य फॉर्मेट) में लिखित जानकारी
• जिन लोगों की प्राथमिक भाषा अंग्रेज़ी नहीं है उन लोगों को निःशुल्क भाषा सेवाएं प्रदान करता है, जैसे:
○ योग्यताप्राप्त दुभाषिया
○ अन्य भाषाओं में लिखित जानकारी
यदि आपको इन सेवाओं की आवश्यकता है तो Compliance Officer से संपर्क करें
यदि आपको विश्वास है कि The Connecticut Dental Health Partnership ये सेवाएं प्रदान करने में विफल रहा है या जाति, रंग, राष्ट्रीय मूल, आयु, विकलांगता, या लिंग के आधार पर किसी तरह से कोई भेदभाव किया है तो आप निम्नलिखित के पास शिकायत दर्ज करा सकते हैं:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
आप स्वयं जाकर या डाक, फैक्स, या ईमेल द्वारा भी शिकायत दर्ज करा सकते हैं। यदि आपको शिकायत दर्ज कराने में सहायता की आवश्यकता है तो Compliance Officer आपकी सहायता के लिए उपलब्ध है।
आप https://ocrportal.hhs.gov/ocr/portal/lobby.jsf पर उपलब्ध, Office for Civil Rights Complaint Portal के माध्यम से इलेक्ट्रॉनिक तरीके से, या डाक या फोन द्वारा भी U.S. Department of Health and Human Services (यू.एस. डिपार्टमेंट ऑफ़ हेल्थ एण्ड ह्यूमन सर्विसेज़), Office for Civil Rights (ऑफिस फॉर सिविल राइट्स) के पास भी एक नागरिक अधिकार शिकायत दर्ज करा सकते हैं:
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)
शिकायत फॉर्म http://www.hhs.gov/ocr/office/file/index.html पर उपलब्ध हैं।
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Tagalog (Tagalog – Filipino)
Discrimination is Against the Law
Sumusunod ang The Connecticut Dental Health Partnership sa mga naaangkop na Pampederal na batas sa karapatang sibil at hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian. Ang The Connecticut Dental Health Partnership ay hindi nagtatangi ng mga tao o hindi nagpapakita ng ibang pakikitungo dahil sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian.
Ang The Connecticut Dental Health Partnership ay:
• Nagbibigay ng mga libreng tulong at serbisyo sa mga taong may kapansanan upang mahusay silang makipag-ugnayan sa amin, gaya ng:
○ Mga kwalipikadong interpreter ng sign language
○ Nakasulat na impormasyon sa iba pang mga format (malaking print, audio, mga naa-access na electronic na format, iba pang mga format)
• Nagbibigay ng mga libreng serbisyo sa wika sa mga taong hindi Ingles ang pangunahing wika, gaya ng:
○ Mga kwalipikadong interpreter
○ Impormasyong nakasulat sa iba pang mga wika
Kung kailangan mo ang mga serbisyong ito, makipag-ugnayan kay Compliance Officer
Kung naniniwala kang hindi naibigay ng The Connecticut Dental Health Partnership ang mga serbisyong ito o nandiskrimina ito sa ibang paraan batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian, maaari kang maghain ng karaingan sa:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Maaari kang maghain ng karaingan nang personal o sa pamamagitan ng koreo, fax o email. Kung kailangan mo ng tulong sa paghahain ng karaingan, narito si Compliance Officer upang tulungan ka.
Maaari ka ring maghain ng reklamo sa mga karapatang sibil sa U.S. Department of Health and Human Services (Kagawaran ng Mga Serbisyong Pangkalusugan at Pantao ng U.S.), Office for Civil Rights (Tanggapan para sa Mga Karapatang Sibil), sa electronic na paraan sa Office for Civil Rights Complaint Portal, na makikita sa https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o sa pamamagitan ng koreo o telepono sa:
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)
Ang mga form ng reklamo ay makukuha sa http://www.hhs.gov/ocr/office/file/index.html.
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λληνικά (Greek)
Discrimination is Against the Law
Η The Connecticut Dental Health Partnership συμμορφώνεται με τους ισχύοντες ομοσπονδιακούς νόμους για τα ατομικά δικαιώματα και δεν προβαίνει σε διακρίσεις με βάση τη φυλή, το χρώμα, την εθνική καταγωγή, την ηλικία, την αναπηρία ή το φύλο. Η The Connecticut Dental Health Partnership δεν αποκλείει άτομα ή τα μεταχειρίζεται διαφορετικά εξαιτίας της φυλής, του χρώματος, της εθνικής καταγωγής, της ηλικίας, της αναπηρίας ή του φύλου τους.
Η The Connecticut Dental Health Partnership:
• Παρέχει δωρεάν βοηθήματα και υπηρεσίες στα άτομα με αναπηρία για να επικοινωνούν αποτελεσματικά μαζί μας, όπως:
○ Ειδικευμένους διερμηνείς νοηματικής γλώσσας
○ Γραπτές πληροφορίες σε διαφορετική μορφή (μεγάλα τυπογραφικά στοιχεία, ηχητικό υλικό, προσβάσιμη ηλεκτρονική μορφή, άλλες μορφές)
• Παρέχει δωρεάν γλωσσικές υπηρεσίες σε άτομα των οποίων η κύρια γλώσσα δεν είναι τα αγγλικά, όπως:
○ Ειδικευμένους διερμηνείς
○ Πληροφορίες γραμμένες σε άλλες γλώσσες
Αν χρειάζεστε αυτές τις υπηρεσίες, επικοινωνήστε με τον αρμόδιο Compliance Officer
Αν πιστεύετε ότι η The Connecticut Dental Health Partnership δεν κατάφερε να σας παράσχει αυτές τις υπηρεσίες ή προέβη σε διακρίσεις με οποιονδήποτε τρόπο με βάση τη φυλή, το χρώμα, την εθνική καταγωγή, την ηλικία, την αναπηρία ή το φύλο μπορείτε να υποβάλετε την καταγγελία σας στον αρμόδιο:
Compliance Officer
P.O. Box 486
Farmington, CT 06034-0486
(855) CT-DENTAL
TTY: 711
Μπορείτε να υποβάλετε την καταγγελία σας αυτοπροσώπως ή μέσω ταχυδρομικής επιστολής, φαξ ή ηλεκτρονικού ταχυδρομείου. Αν χρειάζεστε βοήθεια με την υποβολή της καταγγελίας, ο αρμόδιος Compliance Officer βρίσκεται στη διάθεσή σας.
Μπορείτε επίσης να υποβάλετε καταγγελία περί παραβίασης των ατομικών δικαιωμάτων στο Office for Civil Rights (Γραφείο Ατομικών Δικαιωμάτων) του U.S. Department of Health and Human Services (Αμερικανική Υπηρεσία Υγείας και Κοινωνικών Υπηρεσιών), ηλεκτρονικά μέσω του Office for Civil Rights Complaint Portal στο https://ocrportal.hhs.gov/ocr/portal/lobby.jsf ή μέσω ταχυδρομικής επιστολής ή τηλεφωνικά στο:
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)
Τα έντυπα καταγγελιών είναι διαθέσιμα στο http://www.hhs.gov/ocr/office/file/index.html.
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