Agape Home Healthcare complies with applicable Federal civil rights laws and does not
discriminate on the basis of race, color, national origin, age, disability, or sex. Agape Home
Healthcare does not exclude people or treat them differently because of race, color, national
origin, age, disability, or sex.

 Agape Home Healthcare:
• Provides 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)
• Provides free language services to people whose primary language is not English, such as:
     • Qualified interpreters
     • Information written in other languages

If you need these services, contact Shiney Daniel.

If you believe that Agape Home Healthcare 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: Shiney Daniel, 18770 LBJ Fwy STE 200, Phone - 972-681-2247, Fax – 972-
681-3049, Shiney@agapehomehealth.com. You can file a grievance in person or by mail, fax,
or email. If you need help filing a grievance, Shiney Daniel 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