Non-Discrimination Notice

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

Free aids and services

Free aids and services are available on request to help you communicate effectively with us, at
no cost to you, including:

• Sign language interpretation, provided through our qualified remote interpreting service
• Written information in alternative formats on request, such as large print or accessible electronic files

Free language assistance is also available on request for individuals whose primary language is
not English, through qualified interpreter services. Members of our team speak Russian, Ukrainian, Polish, and Spanish.

To request any of these services, tell any member of our staff — ideally when you check
in or before your visit — or call
224.601.5001.

How to file a grievance

If you believe that Vitality Urgent Care 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:

Rod Levin — Grievance Coordinator, Privacy & Compliance Officer
Vitality Urgent Care
56 W Dundee Rd, Buffalo Grove, IL 60089
480 S Rand Rd, Lake Zurich, IL 60047
Phone: 224.601.5001 ·
Fax: 224.333.7063
Email: rlevin@vitalityurgentcare.com

You may file a grievance in person or by mail, fax, or email. If you need help filing a grievance,
our Grievance Coordinator is available to assist you. We will confirm receipt of your grievance and
respond within 30 days.

Filing a civil rights complaint

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 at
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
hhs.gov/ocr/office/file/index.html.

For our commitments to job applicants and employees, see
Equal Opportunity Employment.

Non-Discrimination Notice · Version 2.0 · Effective July 17, 2026 · Vitality Urgent Care