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Notice of Patient Non-discrimination and Accommodation

LifeStance does not Discriminate

LifeStance complies with applicable Federal civil rights laws and does not discriminate or exclude people or treat patients differently on the basis of age, race, color, creed, national origin, ethnicity, religion, marital status, disability, citizenship, medical condition, sex (including pregnancy, sexual orientation, gender identity, and sex characteristics) or any other basis prohibited by federal, state, or local law.

Compliance with Americans with Disabilities Act (ADA)

LifeStance is committed to ensuring that there is no discrimination against individuals with disabilities on the basis of disability in the full and equal enjoyment of its course, services, and programs. In furtherance of this commitment, LifeStance offers accommodations in an accessible manner to individuals with disabilities. LifeStance makes modifications as are necessary to ensure that the place and manner in which the accommodations are given are accessible to individuals with disabilities. LifeStance also provides appropriate auxiliary aids and services for persons with impaired sensory, manual, or speaking skills, unless doing so would fundamentally alter the course or would result in an undue burden.

LifeStance:

Qualified sign language interpreters

  • Provides free accommodations and tools to patients with disabilities to receive services and communicate effectively with us, including, but not limited to:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to patients whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact the Patient Rights Coordinator Toll-Free 800-308-0994 X 6 or email: [email protected].

If you believe that LifeStance has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, religion, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics), you can file a grievance with: Patient Rights Coordinator, 4800 N. Scottsdale Rd, Scottsdale, AZ 85251, Toll-Free 800-308-0994 or via email: [email protected]. You can file a grievance by mail, fax or email. If you need help filing a grievance, Betsy Ardita, Compliance Officer and Patient Rights Coordinator, is available to help you. You can also file a complaint at www.ada.gov or 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 by calling 1-800-368-1019, 1-800-537-7697 (TDD https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail at: U.S. Department of Health and Human Services 200 Independence Avenue, SW, Room 509F, HHH Building Washington, D.C. 20201. Complaint forms: http://www.hhs.gov/ocr/office/file/index.html.