dntl bar does not discriminate on the basis of race, color, national origin, age, disability, or sex; or exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We provide free aids and services to help all patients communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). If you need these services, let any member of our staff know. If you believe that dntl bar has failed to provide these services or discriminated in another way, you can file a grievance with dntl bar’s Legal Department at: 114 East 25th Street, Office 517, New York, NY, 10010 or at email@example.com. 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/smartscreen/main.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.