Notice of Nondiscrimination
SECTION 1557 COMPLIANCE
Affirma Rehabilitation complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Affirma Rehabilitation does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Affirma Rehabilitation provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters; and
- Written information in other formats (large print, audio, accessible electronic formats and other formats).
Affirma Rehabilitation provides free language services to people whose primary language is not English, such as:
- Qualified interpreters; and
- Information written in other languages.
If you need these services, contact an onsite employee who will facilitate access to our language services line.
If you believe that Affirma Rehabilitation 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:
Civil Rights Coordinator
27071 Aliso Creek Rd, Suite 100
Aliso Viejo, Ca 92656
1-888-505-2004 or TTY 711 or Fax: 949-349-1900 or firstname.lastname@example.org
Grievances must be submitted within 60 days of the date the person filing the grievance becomes aware of the alleged discriminatory action. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, 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/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, DC 20201
1–800–368–1019, 800–537–7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html