Disclosures


Notice of Nondiscrimination - ACA Section 1557

Discrimination is Against the Law

Dr. Richard G Elfman, DDS complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Dr. Richard G Elfman, DDS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Dr. Richard G Elfman, DDS:

  • 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 Richard G. Elfman

If you believe that Dr. Richard G Elfman, DDS 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: Dr. Richard G Elfman, DDS, 19 Hampden St, Springfield MA 01103, (413) 739-9683, (413) 739-5266, richardelfmandds@gmail.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Dr. Richard G Elfman, DDS 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

Dr. Richard G Elfman, DDS complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.


Language Assistance Services - Spanish

 ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1(413) 739-9683 


Language Assistance Services - 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(413) 739-9683


Language Assistance Services - Vietnamese

 CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1(413) 739-9683.


Language Assistance Services - Korean

 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1(413) 739-9683 번으로 전화해 주십시오.


Language Assistance Services - Russian

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1(413) 739-9683.


Language Assistance Services - Arabic

 ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1(413) 739-9683.


Language Assistance Services - French

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1(413) 739-9683.


Language Assistance Services - Portuguese

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1(413) 739-9683.


Language Assistance Services - Italian

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1(413) 739-9683.


Language Assistance Services - German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1(413) 739-9683.


Language Assistance Services - Japanese

 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1(413) 739-9683 まで、お電話にてご連絡ください。


Language Assistance Services - Hindi

 ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1(413) 739-9683  पर कॉल करें।


Language Assistance Services - Serbo-Croatian

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1(413) 739-9683.


Language Assistance Services - Ukrainian

 УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1(413) 739-9683.


Language Assistance Services - Dutch

 AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1(413) 739-9683


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Richard G. Elfman, DDS
Creating Beautiful Smiles

Springfield, Massachusetts Dentist, Dr. Richard Elfman is dedicated to cosmetic dentistry such as Exams, Teeth Whitening, Veneers and more.


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