Nondiscrimination

NOTICE OF NONDISCRIMINATION

Discrimination is Against the Law

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

Active Family Chiropractic:

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

oQualified sign language interpreters;

oWritten information in other formats (large print, audio, accessible electronic formats, other formats).

Active Family Chiropractic:

Provides free language services to people whose primary language is not English, such as:

oQualified interpreters; or

oInformation written in other languages.

If you need these services, contact Jenny Mejia Spicer, D.C.

If you believe that This Practice 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: Jenny Mejia Spicer, D.C. , 11232 W. Hillsborough Ave. Tampa , FL 33635, Telephone (813) 925-9700, Fax (813) 925-9701, Email: [email protected] . You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jenny Mejia Spicer, DC 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/... , 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, 1â€“800â€“868â€“1019, 800â€“537â€“7697 (TDD).

Complaint forms are available at http:// www.hhs.gov/ocr/office/file/in... .

Civil Rights Coordinator Jenny Mejia Spicer, D.C.

Have a disability? Speak a language other than English? Call to get help for free.

EspaÃ±ol (Spanish): ATENCIÃ“N: si habla espaÃ±ol, tiene a su disposiciÃ³n servicios gratuitos de asistencia lingÃ¼Ãstica.

KreyÃ²l Ayisyen (French Creole): ATANSYON: Si w pale KreyÃ²l Ayisyen, gen sÃ¨vis Ã¨d pou lang ki disponib gratis pou ou.

Tiáº¿ng Viá»‡t (Vietnamese): CHÃš Ã: Náº¿u báº¡n nÃ³i Tiáº¿ng Viá»‡t, cÃ³ cÃ¡c dá»‹ch vá»¥ há»— trá»£ ngÃ´n ngá»¯ miá»…n phÃ dÃ nh cho báº¡n.

PortuguÃªs (Portuguese): ATENÃ‡ÃƒO: Se fala portuguÃªs, encontram-se disponÃveis serviÃ§os linguÃsticos, grÃ¡tis.

ç¹é«”ä¸æ–‡ (Chinese): æ³¨æ„ï¼šå¦‚æžœæ‚¨ä½¿ç”¨ç¹é«”ä¸æ–‡ï¼Œæ‚¨å¯ä»¥å…è²»ç²å¾—èªžè¨€æ´åŠ©æœå‹™ã€‚è«‹è‡´é›»ã€‚

FranÃ§ais (French): ATTENTION : Si vous parlez franÃ§ais, des services d'aide linguistique vous sont proposÃ©s gratuitement.

Tagalog (Tagalog â€“ Filipino): PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Italiano (Italian): ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti.

Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur VerfÃ¼gung.

í•œêµì–´ (Korean): ì£¼ì˜: í•œêµì–´ë¥¼ ì‚¬ìš©í•˜ì‹œëŠ” ê²½ìš°, ì–¸ì–´ ì§€ì› ì„œë¹„ìŠ¤ë¥¼ ë¬´ë£Œë¡œ ì´ìš©í•˜ì‹¤ ìˆ˜ ìžˆìŠµë‹ˆë‹¤.ë²ˆìœ¼ë¡œ ì „í™”í•´ ì£¼ì‹ì‹œì˜¤

Polski (Polish): UWAGA: JeÅ¼eli mÃ³wisz po polsku, moÅ¼esz skorzystaÄ‡ z bezpÅ‚atnej pomocy jÄ™zykowej.

WEBSITE HOMEPAGE NOTICE OF NONDISCRIMINATION

We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. You may access the Nondiscrimination and Accessibility notice here.

Language assistance available: EspaÃ±ol, Kreyol Ayisien, Tiáº¿ng Viá»‡t, PortuguÃªs, ä¸æ–‡, franÃ§ais, Tagalog, Ñ€ÑƒÑÑÐºÐ¸Ð¹, Ø§Ù„Ø¹Ø±Ø¨ÙŠØ©, italiano, Deutsche, í•œêµì–´, Polskie, Gujarati, à¹„à¸—à¸¢, æ—¥æœ¬èªž, ÙØ§Ø±Ø³ÛŒ

STATEMENT OF NONDISCRIMINATION

(For significant publications and significant communications that are small-size)

Active Family Chiropractic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Civil Rights Coordinator Jenny Mejia Spicer , D.C.