Disclosures

COVID-19 UPDATE

In light of the recent COVID-19 pandemic, Happy Teeth Dental want to reassure you that our team will continue to have your health as our #1 priority.

As new information comes in, we are modifying our cleaning procedures accordingly. This includes but is not limited to maintaining a reduced schedule to eliminate waiting times and prevent congregating in our waiting room area, having hand sanitizer in common areas for patient use, and removing pens and magazines in the common areas. We are also requiring any staff member that is feeling ill to stay home.

During your visit, you will wait outside and a staff member will come and check your temperature. Patient must wear a mask once you enter the office and remain on until dental procedure, hand sanitizer will be provided and you will be taken to your clean room. Hydrogen peroxide rinse will be provided to you before and after Procedure. After treatment you will come out and hand sanitizer will be provided again. You can pay with our contact less payment .

We ask that you please call and cancel your appointment if you are feeling any signs of illness, have come in contact with anyone that is experiencing symptoms, or have traveled abroad recently.

Please be assured that we are here to help you stay and maintain healthy. If you have any further concerns or questions, please contact our office at (626)288-6488.

For more information, please go to the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/index.html

Notice of Nondiscrimination - ACA Section 1557

Discrimination is Against the Law

[Name of covered entity] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. [Name of covered entity] does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

[Name of covered entity]:

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 [Name of Civil Rights Coordinator]

If you believe that [Name of covered entity] 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: [Name and Title of Civil Rights Coordinator], [Mailing Address], [Telephone number ], [TTY number—if covered entity has one], [Fax], [Email]. 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.

Statement of Nondiscrimination - ACA Section 1557

[Name of covered entity] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.