Requirements
Forever Young Aesthetics complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Our practice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Forever Young Aesthetics provides no cost, aids and services to people with disabilities to communicate effectively with us such as: written information in the form of large print, audio, accessible electronic formats, etc. If you believe our practice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you an file grievance with: Civil Rights Coordinator: Erika Cantor, 2835 W. DeLeon Avenue, Suite 203, Tampa, FL 33609, (813) 353-0023. You can file grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You can also file a civil rights complain 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. 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/civil-rights/filing-a-commmplaint/index.html
