Notice Informing Individuals about Nondiscrimination and Accessibility Requirements
and Non-discrimination Statement: Discrimination is Against the Law
Haley Chiropractic Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Haley Chiropractic Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Haley Chiropractic Center:
• 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 Susan Haley, Civil Rights Coordinator
If you believe that Haley Chiropractic Center 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: Office of Civil Rights Region VI US Department of Health & Human Services 1301Young Street – Suite 1169 Dallas, TX 75202. Phone: 214-767-4056;
Fax 214-767-0432; TDD 214-767-8940. You can file a grievance in person or by mail, fax, or email.
If you need help filing a grievance, the Office of Civil Rights 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
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Call us at 501-589-2222 or email us at firstname.lastname@example.org
5 New Street
Quitman, AR 72131
Monday, Wednesday, and Friday
8:30-12:00 & 2:00-6:00