Digital Accessibility Feedback Form

If you or someone you know experiences an accessibility barrier when accessing Shepherd Center's websites or other digital content, please complete this form to let us know.

For other accessibility barriers such as physical, attitudinal, organizational, or communicational, submit a Barriers to Accessibility Form. The DEIA Clinical Support Functional Team will review your submission and delegate action items to the relevant leaders or organizations at Shepherd Center.

Any information collected will be kept confidential and only be used to communicate issues with website owners and keep those who submit up to date.

Contact Information

I am a

Please specify your relationship to Shepherd Center.

First Name

Last Name

May we contact you about this issue?

YesNo

Accessibility Feedback

Please specify the area of feedback.

What device were you using when you encountered the accessibility barrier?

What is the URL(s) the accessibility barrier is on?

I am describing an accessibility barrier that

Please describe the access barrier(s) you encountered.

If using assistive technology, please share the software or technology used.

What feedback do you have about removing the accessibility barrier you experienced?

Contact Information