*NOTICE OF NONDISCRIMINATION *

*Discrimination is Against the Law*

Lowery 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.

Lowery Chiropractic:

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

o Qualified sign language interpreters;

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

Lowery Chiropractic:

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

o Qualified interpreters; or

o Information written in other languages.

If you need these services, contact Bill Roberts.

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: *Bill Roberts*, Acting Civil Rights Compliance Coordinator

2727 Mahan Drive, Mail Stop #3
Tallahassee, FL 32308
TTY: 800-955-8771
Phone: 850-412-3630
Fax: 850-921-0158

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, [Name and Title of Civil Rights Coordinator] 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
1–800–868-1019
800–537–7697 (TDD).

Complaint forms are available at www.hhs.gov.

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