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Intake Form

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Non-Discrimination Policy

Admissions, the provisions of services, and referrals of clients shall be made without regard to race, color, religious creed, disability, ancestry, national origin (including limited English proficiency), age, or sex. Program services shall be made accessible to eligible persons with disabilities through the most practical and economically feasible methods available. These methods include, but are not limited to, equipment redesign, the provision of aides, and the use of alternative service delivery locations. Structural modifications shall be considered only as a last resort among available methods. Any individual/client/patient/student (and/or their guardian) who believes they have been discriminated against, may file a greivance with:

Hope Springs Behavioral Health Facility Director

1190 Old York Road
Suites A and B
Warminster, PA 18974

Department of Public Welfare
Bureau of Equal Opportunity

Room 223, Health & Welfare Building
P.O. Box 2675
Harrisburg, PA 17105

Human Relations Commission
Philadlephia Regional Office

110 N. 8th Street, suite 501
Philadelphia, PA 19107

U.S. Department of Health and Human Services
Office of Civil Rights

Suite 372, Puglic Ledger Bldg.
150 South Independence Mall West
Philadelphia, PA 19106-9111

Commonwealth of Pennsylvania
DPW Bureau of Equal Opportunity
Southeast Regional Office

801 Market Street, Suite 5034
Philadelphia, PA 19107

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