Non-discrimination Notice

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

Mount Vista Family Dental 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 Robin Andersen, at Mount Vista Family Dental.

If you believe that Mount Vista Family Dental 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:

Robin Andersen
Mount Vista Family Dental
14313 NE 20th Ave, Suite A101
Vancouver WA 98686
Phone: 360-574-3985
Fax: 360-574-0452
Email: mountvistadental@gmail.com

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