Acworth Outpatient Treatment complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of their race, color, national origin, age, disability, or sex.

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, other formats).

We Provide Free Language Assistance Services to People Whose Primary Language Is Not English, Such As:

• Qualified interpreters.
• Information written in other languages.

If you need these services, please contact us at the information listed below.

Filing a Grievance

If you believe that Acworth Outpatient Treatment 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 our designated Civil Rights Coordinator.

• By Mail: Acworth Outpatient Treatment, Attn: Civil Rights Coordinator, 6060 Lake Acworth Drive Suite G, Acworth, GA 30101

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR).

• Electronically: Through the OCR Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
• By Mail: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201
• By Phone: 1-800-368-1019, TTY 1-800-537-7697

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.