ACA Notice of Non-Discrimination

Appendix A to Part 92—Sample Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Sample Nondiscrimination Statement: Discrimination is Against the Law

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

Sioux Falls Chiropractic, LLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Sioux Falls Chiropractic, LLC provides free aids and services to people with disabilities to communicate effectively with us upon request, 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 Sioux Falls Chiropractic, LLC directly and we will let you know our translation options. Interpretation may be contract by them through the following South Dakota State website for the Sioux Falls region -http://ujs.sd.gov/Second_Circuit/Service_Providers...

If you believe that Sioux Falls Chiropractic - llc 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:

The South Dakota Attorney General, Division of Consumer Protection

1302 E Hwy 14 Suite 3

Pierre SD, 57501-8053

1-800-300-1986 (In-State)

(605) 773-4400

Fax (605) 773-7163

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, contact the Division of Consumer Protection and the will be 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

1-800-368-1019, 800-537-7697 (TDD)

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