Anti-Discrimination Disclaimer 

Reform Chiropractic 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). Reform Chiropractic 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).

If you believe that Reform Chiropractic LLC has failed to provide 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 our Doctor and founder of Reform Chiropractic LLC at 612 E. Longview Drive, Appleton, WI 54911. You can contact our Doctor by phone at 920-223-5362, or by email, drkaylee@reformchiropracticappleton.com.

You can file a grievance in person or by mail. If you need help filing a grievance, our Doctor 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

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

Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html.