Drake & Associates, Optometrists, P.A., DBA Custom Eyes
Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement:
Drake & Associates, Optometrists, P.A., DBA Custom Eyes complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Drake & Associates, Optometrists, P.A., DBA Custom Eyes does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Drake & Associates, Optometrists, P.A., DBA Custom Eyes:
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
â—‹ Qualified sign language interpreters
â—‹ 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:
â—‹ Qualified interpreters
â—‹ Information written in other languages
If you need these services, contact Linda Drake.
If you believe that Drake & Associates, Optometrists, P.A., DBA Custom Eyes 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: Linda Drake, Civil Rights Coordinator, 15601 W 87th St. Parkway, Lenexa, KS, 913-894-2020, Fax 913-894-2022 or email through our secure patient portal. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Linda Drake, Civil Rights Coordinator 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 http://www.hhs.gov/ocr/office/file/index.html.