Notice of Nondiscrimination
SECTION 1557 COMPLIANCE
Affirma Rehabilitation and its affiliates does not discriminate and does not permit discrimination including, without limitation, bullying, abuse or harassment, on the basis of race (including traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), color, religious creed, religious belief or grooming (including dress or grooming practices), gender, sex, gender identity, gender expression, transgender, sexual orientation, marital/domestic partner status, alienage or citizenship, national origin and ancestry, mental or physical disability (actual or perceived), AIDS or HIV status, medical condition, including cancer and genetic information or characteristics (or those of a family member), predisposition or carrier status, pregnancy, childbirth, breastfeeding (including related medical conditions to pregnancy, childbirth or breastfeeding), political activity or affiliation, arrest record, age, military or veteran status, status as a victim of domestic violence, sexual assault or stalking, use or denial of or request for any legally protected leave and/or any other basis or characteristic protected under federal, state or local law.
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 you can file a grievance with:
Civil Rights Coordinator
120 Vantis Drive, Suite 200
Aliso Viejo, California 92656
1-888-505-2004 or TTY 711 or Fax: 949-349-1900 or [email protected]
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