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File an ADA Complaint

You can file an Americans with Disabilities Act (ADA) complaint alleging disability discrimination against a State or local government or a public accommodation. A complaint can be filed online using the link below, by mail, or by facsimile.

To file an ADA complaint online:

Americans with Disabilities Act Discrimination Online Complaint Form

To file an ADA complaint by mail, send the completed ADA complaint form to:

MHMR
ADA Coordinator, Cathy Stout
3840 Hulen St.
Fort Worth, TX 76107

To file an ADA complaint by facsimile, fax the completed ADA complaint form to: (817) 810-3250

Keep a copy of your complaint and the original documents for your own records.

Paperwork Reduction Act Statement

This request is in accordance with the Paperwork Reduction Act of 1995, 44 U.S.C. § 3507.  This information collection is for the purpose of allowing the MHMR Emergency Management (EMD) to engage in authorized civil rights compliance and enforcement activities. Providing the information is voluntary, except that failure to provide such information may result in EMD being unable to process your complaint. The estimated average burden associated with this collection is 45 minutes per response, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden may be sent by email at: Emergency.Management@mhmrtc.org.  An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Privacy Act Statement

The Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12131-12134, and Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, authorize the solicitation of the information for this form.  Providing the information is voluntary, except that failure to provide such information may result in the MHMR Emergency Management (EMD) being unable to process your complaint. The principal purpose of collecting information from you is for EMD’s authorized civil rights compliance and enforcement activities. EMD will not disclose your name or other identifying information about you unless it is necessary for enforcement activities against an entity alleged to have violated federal law, required to be disclosed under the Freedom of Information Act, 5 U.S.C. § 552, disclosure is permitted pursuant to the Privacy Act, or is otherwise required by law. 

To report violations, contact the MHMR Rights Officer, 817-569-4429 ClientRights@mhmrtc.org

Notice Under the ADA

You also may contact:

Mental Health Services/Addiction Services Department of State Health Services Consumer Rights and Services
1-800-252-8154

Intellectual Developmental Disability (IDD) Services
Department of Aging and Disability Services Consumer Rights and Services
1-800-458-9858

Early Childhood Intervention
Department of Assistive and Rehabilitative Services
1-800-628-5115

You also may contact:

Disability Rights Texas 1-800-252-9108

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