Notice of Nondiscrimination
Bak Chiropractic’s nondiscrimination statement, and how to ask for free aids, language services or to file a grievance.
The statement
Bak Chiropractic complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bak Chiropractic does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Bak Chiropractic:
- 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, other formats).
- 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 Dr. Brian Bak at Bak Chiropractic.
Filing a grievance
If you believe that Bak Chiropractic 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 with:
Dr. Brian Bak
1 5th Street SE
Watertown, SD 57201
docbak88@gmail.com
Phone: (605) 206-3437
You can file a grievance in person, by mail, or by email. If you need help filing a grievance, Dr. Brian Bak 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 OCR 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, 800-537-7697 (TDD)
Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.