Solace and Sage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). Solace and Sage does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

Solace and Sage:

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

Michelle McCarty, Executive Director

P.O. Box 824 Dripping Springs, TX 78620

Telephone: 512-651-0341

Fax: 888-690-4930

Email: michelle@solaceandsage.org

If you believe that Solace and Sage has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity), you can file a grievance with:

Michelle McCarty, Executive Director

P.O. Box 824 Dripping Springs, TX 78620

Telephone: 512-651-0341

Fax: 888-690-4930

Email: michelle@solaceandsage.org

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Michelle McCarty, Executive Director, 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, D.C. 20201

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

Complaint forms are available at

https://www.hhs.gov/ocr/complaints/index.html

.

Source: U.S. Department of Health and Human Services. “Sample Notice Informing Individuals About Nondiscrimination and Accessibility Requirements.”

HHS.gov

,

https://www.hhs.gov/civil-rights/for-providers/clearance-medicare-providers/technical-assistance/example-notice-nondiscrimination/index.html