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

Gulfshore Pediatric Dentistry:

• 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 Gulfshore Pediatric Dentistry.

If you believe that Gulfshore Pediatric Dentistry 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: 

Gulfshore Pediatric Dentistry
Telephone: 239-301-4278
Address: 9921 Corkscrew Rd., Estero, FL 33928  
Email: patientinfo@gulfshorepd.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Gulfshore Pediatric Dentistry 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)