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HIPAA Non-Discrimination Disclosure

Appendix A to Part 92—Sample Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Sample Nondiscrimination Statement:

Discrimination is Against the Law

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

Jeranek Family Chiropractic:

  • 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 Dr. Janet Jeranek

    If you believe that Jeranek Family Chiropractic 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: Dr. Janet Jeranek. You can file a grievance in person or by mail. If you need help filing a grievance, Dr. Janet Jeranek 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, 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

    (262) 694-7833

    7505 41st Avenue, Kenosha, Wi, 53142, USA

    Office Hours

    Our Regular Schedule


    9:00 am-11:00 am

    2:00 pm-6:00 pm




    9:00 am-11:00 am

    2:00 pm-5:00 pm




    9:00 am-11:00 am

    2:00 pm-6:00 pm





    • "My problems started two years ago and I couldn’t walk, I was stuck on a walker, almost bent in half. Dr. Jeranek has helped me very much. I feel better, I walk better, straighter, and without a walker, it’s a night and day difference. I would highly recommend seeing her."
      Myrna J. (female 82)
    • "I had a sore lower back for about a year and sore knees for about 4-5 years before I started seeing Dr. Janet Jeranek. Dr. Jeranek’s rehabilitative Chiropractic care has significantly improved my back pain and both my knees have shown very little pain lately. I am very happy that I can do all of my normal activities with more flexibility with very little pain."
      Ralph M. (Male 75)
    • "I am a semi truck driver and the seat bounces me around. The MRI showed that I messed up my discs in my lower back, I have been suffering from lower back pain for years. I started noticing numbness, tingling, and weakness in my left leg a few weeks ago. So I called Dr. Jeranek and she got me in right away. Now I am feeling great with not leg tingling, weakness, or numbness. Give her a try, you will be glad you did!"
      David B (Male 50)