LIFE PACE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, age, sex, mental or physical disability, sexual orientation or source of payment for your health care. LIFE PACE does not exclude people or treat them differently because of race, ethnicity, national origin, religion, age, sex, mental or physical disability, sexual orientation or source of payment.
LIFE PACE:
If you need these services, contact LIFE PACE's Privacy Officer. If you believe that LIFE PACE has failed to provide these services or discriminated in another way on the basis of race, ethnicity, national origin, religion, age, sex, mental or physical disability, sexual orientation or source of payment, you can file a grievance with: LIFE PACE, Privacy Officer, 5950 E. 31st St., Tulsa, OK, 74137, (918) 949-9969, TTY 7-1-1 and ask for (918) 949-9969, or Fax (918) 551-7982. You can file a grievance in person or by mail or fax. If you need help filing a grievance, our Privacy Officer 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, (you will leave the LIFE PACE web site) 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. (You will leave the LIFE PACE web site)
You have a right to all of this information in other languages. Please call us directly. We will work through an interpreter to discuss what materials you need in the language of your choice.