Discrimination is Against the Law
Family Tree Chiropractic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Family Tree Chiropractic does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
Free Accessibility and Language Assistance
Family Tree Chiropractic provides reasonable modifications and free appropriate auxiliary aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats, including large print, audio, accessible electronic formats, and other formats.
Family Tree Chiropractic provides free language assistance services to people whose primary language is not English, which may include qualified interpreters and information written in other languages.
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact Family Tree Chiropractic at 717-738-2555.
How to File a Grievance
If you believe that Family Tree Chiropractic has failed to provide these services or has discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Family Tree Chiropractic
904 Dawn Ave.
Ephrata, PA 17522
717-738-2555
ephratachiropractic.com
You can file a grievance in person, by mail, or by phone. If you need help filing a grievance, Family Tree Chiropractic is available to help you.
Office for Civil Rights Complaint
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, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, DC 20201
1-800-368-1019
800-537-7697 (TDD)
Complaint forms are available from the Office for Civil Rights.
This notice is available at ephratachiropractic.com/nondiscrimination-notice.html.