Nondiscrimination and Accessibility Notice
Appendix A to Part 92-Notice Informing Individuals About Nondiscrimination and Accessibility Requirements
Discrimination is Against the Law
Imperium Chiropractic, SC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you are in need of aids such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Qualified interpreters
- Information written in other languages
Please visit your local Imperium Chiropractic, SC office.
If you believe that Imperium Chiropractic, SC 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:
Imperium Chiropractic, SC
Section 1557 Coordinator
W8646 Hwy 8
Ladysmith, WI 54848
(715) 609-2155
robyn.tozer@imperiumchiropractic.com
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, we are 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/smartscreen/main.jsf, 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
800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html
