Notice of Non-Discrimination
SciForm Physical Therapy complies with applicable federal civil rights laws and does not discriminate, exclude, or treat anyone differently on the basis of race, color, national origin, age, disability, sex, gender identity, sexual orientation, or any other characteristic protected by law.
We provide 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)
We also provide free language services to people whose primary language is not English, such as:
Qualified interpreters
Information written in other languages
If you believe SciForm Physical Therapy has failed to provide these services or has discriminated in another way, you may file a grievance with our Civil Rights Coordinator:
Civil Rights Coordinator
Dr. Sailendra Patel
232 Chestnut St, Clermont, FL 34711
frontdesk@sciformpt.com
+1 352-404-7336
You may 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, 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
1-800-368-1019 (Toll-Free)
1-800-537-7697 (TDD)
Complaint forms are available at: https://www.hhs.gov/ocr/complaints/index.html
