01
Notice of Nondiscrimination
Adult & Child Counseling & Psychiatric Center, PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Adult & Child Counseling & Psychiatric Center, PA:
- Makes reasonable modifications to our policies, practices, and procedures for people with disabilities when those modifications are needed to give you an equal opportunity to receive care.
- Provides appropriate auxiliary aids and services free of charge and in a timely manner, including qualified interpreters for people with disabilities and written information in alternate formats such as large print, braille, and accessible electronic formats.
- Provides language assistance services free of charge and in a timely manner to people whose primary language is not English, including qualified oral interpretation and written and electronic translated documents.
If you need these services, please contact our Section 1557 Coordinator by calling (321) 779-9838.
02
Filing a Grievance
If you believe that Adult & Child Counseling & Psychiatric Center, PA 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 in person, by mail, by fax, or by email:
Kimberly Langley, Section 1557 Coordinator
Adult & Child Counseling & Psychiatric Center, PA
5545 N Wickham Rd, Suite 110
Melbourne, FL 32940
Phone: (321) 779-9838
Fax: (321) 779-4502
Email: office@accpcfl.org
The Section 1557 Coordinator is available to help you file a grievance.
03
Filing a Complaint with the U.S. Department of Health and Human Services
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 ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-800-368-1019
TDD: 1-800-537-7697
Complaint forms are available at hhs.gov/ocr/office/file/index.html.
04
Notice of Availability of Language Assistance and Auxiliary Aids
Language assistance services and appropriate auxiliary aids and services, free of charge, are available to you. Call (321) 779-9838.
- Español (Spanish)
- ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (321) 779-9838.
- Kreyòl Ayisyen (Haitian Creole)
- ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele (321) 779-9838.
- Português (Portuguese)
- ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para (321) 779-9838.
- Tiếng Việt (Vietnamese)
- CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (321) 779-9838.
- Français (French)
- ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (321) 779-9838.
- 简体中文 (Chinese, Simplified)
- 注意:如果您使用简体中文,您可以免费获得语言援助服务。请致电 (321) 779-9838。
- Tagalog (Filipino)
- PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (321) 779-9838.
- العربية (Arabic)
- ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (321) 779-9838.
- Русский (Russian)
- ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (321) 779-9838.
- Deutsch (German)
- ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (321) 779-9838.
- Italiano (Italian)
- ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (321) 779-9838.
- 한국어 (Korean)
- 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (321) 779-9838 번으로 전화해 주십시오.
- Polski (Polish)
- UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer (321) 779-9838.
- فارسی (Persian (Farsi))
- توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با (321) 779-9838 تماس بگیرید.
- हिन्दी (Hindi)
- ध्यान दें: यदि आप हिन्दी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। (321) 779-9838 पर कॉल करें।