(650) 969-5600
Contact

Statement of Nondiscrimination

Notice Regarding State Nondiscrimination Requirements – Updated February 18th, 2025

Palo Alto Dermatology Institute complies with applicable Federal and State civil rights laws. PALO ALTO DERMATOLOGY INSTITUTE does not unlawfully discriminate on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation. PALO ALTO DERMATOLOGY INSTITUTE does not unlawfully exclude people or treat them diRerently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation.

Palo Alto Dermatology Institute:

Provides free aids and services to people with disabilities to communicate eRectively with us, such as:

  • Qualified sign language interpreters
  • Written information in other formats such as Braille, large print, audio, accessible electronic formats and 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 Darien Whang at 650-969-5600.

If you need these services, contact Darien Whang at 650-969-5600 or darien@paloaltoderm.com. Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form.

If you believe PALO ALTO DERMATOLOGY INSTITUTE has failed to provide these services or you have been discriminated against in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation, you can file a grievance with:

Darien Whang, Compliance Officer

301 High Street
Palo Alto, CA 94301
Phone: 650-969-5600
Fax: 650-969-0360
Email: darien@paloaltoderm.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jeff Dover, Compliance Officer 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 the ORice of Civil Rights.

Office of Civil Rights
Department of Health Care Services
PO Box 997413, MS 0009
Sacramento, CA 95899-7413
(916) 440-7370, 711 (California State Relay)

Email: CivilRights@DHCS.ca.gov
Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-650-969-5600.

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 1-650969-5600
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-650-969-

5600 번으로 전화해 주십시오.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-650-

969-5600

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-650-969-5600

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-650-969-5600

رقم)5600-969-650-1 – ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1

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。1-650-969-5600 ま で、お電話にてご連絡ください。

!ՇԱԴՐ!ԹՅ!Ն՝ Եթե խոս0մ եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակց0թյան ծառայ0թյ0ններ: Զանգահարեք 1-650-969-5600

!បយ័ត&៖ បេរស* ិន.អ&កនិ1យ 23ែខ6រ, បស7ជំនួយខ&នក23 េ;យមិនគិត@ >?ល គឺCចEនសំFរGរHបេរអ* &ក។ ចូរ ទូរស័ពM 1-650-555-5555។

เรยี น: ถา้ คณุ พูดภาษาไทยคณุ สามารถใชบ้ รกิ ารชว่ ยเหลอื ทางภาษาไดฟ้ รี โทร 1-650-969-5600
ਿਧਆਨ ਿਧਓ: ਜੇ ਤੁਸ ◌ੀ◌ਂ ਪੰਜਾਬ ਬੋਿਲੇ ਹੋ, ਤਾੀ ਂ ਭਾਸ਼ਾ ਧ ਿ◌◌ੱਚ ਸਹਾਇਤਾ ਸੇ ◌ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਿਬ ਹੈ। 1-650-

969-5600 ਤੇ ਕਾਲ ਕਰੋ। ່້

ໂ ປ ດ ຊ າ ບ : ຖ ້ າ ວ ່ າ ທ ່ າ ນ ເ ວົ າ ພ າ ສ າ ລ າ ວ , ກ າ ນ ບໍ ລິ ກ າ ນ ຊ ່ ວ ຍ ເ ຫື ຼ ອ ດ ້ າ ນ ພ າ ສ າ , ໂ ດ ຍ ບໍ ເ ສັ ຽ ຄ ່ າ , ແ ມ ່ ນ ມີ ພ ້ ອ ມ ໃ ຫ ້ ທ ່ າ ນ . ໂ ທ ຣ 1-650-969-5600

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1- 650-969-5600

!यान द&: यदद आप )हदं , बोलते ह2 तो आपके ललए म7ु त म& भाषा सहायता सेवाएं उपल=ध ह2। 1-650-969-5600 पर कॉल कर&।

توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما فراھم می باشد. با 1-650-969-5600 تماس .بگیرید