Notice Informing Individuals About Nondiscrimination and Accessibility Requirements

Effective Date: 05/14/2024

Home Therapy Solutions, LLC 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). Home Therapy Solutions, LLC 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).

Home Therapy Solutions, LLC:

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:

Hannah Mattson, Business Manager/Civil Rights Coordinator
620 Crescent Drive, Thompson ND 58278
Telephone: 218-230-2171
Fax: 701-213-4106

Email: hannah@hometherapysolutionsnd.com

If you believe that Home Therapy Solutions, LLC 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:

Hannah Mattson, Business Manager/Civil Rights Coordinator
620 Crescent Drive, Thompson ND 58278
Telephone: 218-230-2171
Fax: 701-213-4106

Email: hannah@hometherapysolutionsnd.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Hannah Mattson, Business Manager/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, 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.