Northern Michigan Neurology and Dr. Erica Austin comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Dr. Bradley Evans and Dr. Erica Austin do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Northern Michigan Neurology and Dr. Erica Austin:
If you need these services, contact Cindy Conquest
If you believe that Dr. Bradley Evans or Dr. Erica Austin have 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: Cindy Conquest, Civil Rights Coordinator, 110 S. Madison, Traverse City, MI 49684, phone: 231-935-0340, Fax: 231-935-0343, email@example.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Cindy Conquest 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.