(813) 752-0757

ACA Non-Discrimination Rule

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

Clayton Dermatology Group provides aids and services to people with disabilities to communicate effectively with us, such as sign language interpreters and written information in other formats. Language services including interpreters and information written in other languages are also available to patients whose primary language is not English.

If you need these services, contact Priscilla Kiser, Clinical Operations Manager.
If you believe that Clayton Dermatology Group 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 in person or by mail, fax, or email. Attn: Priscilla Kiser, Clinical Operations Manager at Address: 110 Southern Oak Dr. Plant City, FL 33563, Phone: 813.752.0757 Fax: 813.752.0753,
Email: kiser.priscilla@gmail.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/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.