Accessibility Services for Hospitals, clinics, and private practices
No overlays, no shortcuts. Just real, lasting accessibility verified by people with experience using adaptive technology.
The standard in the HHS rule
Testing, no overlays
Portals, telehealth and PDFs
Credentials held by our testers
A federal rule names the standard and the date
HHS’s Section 504 rule (45 CFR Part 84, Subpart I) requires recipients of HHS federal financial assistance, such as Medicaid or Medicare payments, to make their web content and mobile apps meet WCAG 2.1 AA.
May 10, 2028 for fewer than 15 (revised from May 10, 2027)
Section 504 requires WCAG 2.1 AA
Web content and mobile apps must meet WCAG 2.1 AA by May 11, 2027 (15+ employees) or May 10, 2028 (fewer than 15), including content delivered through vendors.
Section 1557 covers documents and portals
Consent forms, discharge instructions, billing statements, prescription instructions, patient portals and digital forms are all in scope. OCR investigates complaints.
DOJ Title II: April 26, 2027
State and local government entities serving 50,000+ people must meet WCAG 2.1 AA by April 26, 2027; smaller ones by April 26, 2028.
Covered: hospitals, clinics, physician practices, community health centers, nursing, home health, hospice, dental and vision providers.
The Americans with Disabilities Act applies regardless of federal funding. Title III (42 U.S.C. § 12181 et seq.) prohibits disability discrimination by private health care providers as public accommodations, and Title II (28 CFR Part 35, Subpart H) requires state and local government health entities to make their web content and mobile apps meet WCAG 2.1 AA. State laws, such as California’s Unruh Civil Rights Act, may impose additional statutory damages.
Every step a patient takes, end to end
We test journeys, not just pages. Select a step to see what we check and where healthcare sites usually fail.
Your patients are this audience
Disability rises with age, and patients over 65 are a large share of hospital volume. Accessible care starts before the visit.
1 in 4
U.S. adults report a disability, more than 70 million people
43.9%
of adults 65 and older report a disability
Real testing, by the people who live it
Automated scans find the easy issues. The rest show up when someone actually tries to book a visit with a screen reader.
Lived-experience testers
Screen reader, voice control and keyboard users test every journey.
Manual, not just scanned
People find the barriers that block a booking; tools don’t.
Code-level fixes
Developers correct the code preventing access: widgets don’t.
No overlays
Widgets don’t fix source code; suits against sites using them ran 95–155 a month in 2025.
Common on healthcare sites every week
Scheduling widgets that don’t announce available times
CAPTCHA at portal login with no accessible alternative
Scanned discharge PDFs that read as a blank page
Documents patients can actually read
Section 1557 guidance names these documents. Our IAAP ADS-certified team remediates them to tagged, screen-reader-ready PDFs, and fixes the templates so the next batch comes out right.
Consent & intake forms
Discharge instructions
Test results
Bills & statements
Notices of nondiscrimination
Patient education materials
“But that’s our vendor’s code.” It’s still your responsibility.
The Section 504 rule covers content delivered through vendors, and a vendor saying “accessible” isn’t enough. We test their tools inside your site and give you evidence to push them.
Patient portals
Online scheduling
Telehealth
Payments
Chat & messaging
Vendor VPATs and ACRs checked against what we actually find, with findings written so you can send them straight to the vendor.
Priced by scope, set after a 30-minute call
Start with one patient journey as a fixed-fee pilot, so a department can approve it without a long procurement cycle.
Patient-journey audit
One patient journey, tested manually and with assistive tech, plus a retest after fixes.
from $X,XXX
Remediation
Our developers fix issues in your code, or pair with your team inside existing sprints.
from $X,XXX
Document remediation
Consent forms, discharge instructions, results and bills remediated to tagged PDFs.
from $XX / page
Vendor & VPAT review
Portal, scheduling and telehealth tools tested; VPATs checked. ACRs for digital health vendors.
from $X,XXX
Small-practice package
For practices under 15 staff (May 2028 date). May qualify for the Disabled Access Credit; check with your accountant.
from $XXX
Six steps, agreed before we start
Scoping call
30 minutes to pick the journeys, documents, vendors and deadlines that matter.
Access & patient data
Test accounts in a test environment, no real patient data. NDA, and a business associate agreement if PHI could be seen.
Testing & discovery
Manual and assistive-tech testing of every journey and vendor tool in scope.
Implementation & fixes
Prioritised fixes that fit your release schedule, not stall it.
Team training
Web, content and patient-document teams learn to keep it accessible.
Final audit & report
Retest and a report mapped to WCAG 2.1 AA, ready for an OCR review.
Documentation for an OCR review, not just a bug list
Every engagement ends with records that show what you tested, what you fixed and when.
Issue log by journey
Each issue tied to the step where it happens
Severity ratings
What blocks a patient vs. what slows them
WCAG 2.1 AA references
Every finding mapped to a success criterion
Fix guidance
Code-level, written for your developers
Retest results
Proof each fix actually works
Statement & conformance letter
Accessibility statement and letter, drafted
Work that holds up to review
Questions compliance, IT and legal ask
Does the Section 504 rule apply to us?
Most organizations that receive HHS funding, such as Medicare or Medicaid payments, are covered: hospitals, clinics, physician practices, community health centers, nursing, home health, hospice, dental and vision providers. Coverage depends on your funding and structure, so confirm with counsel.
We have fewer than 15 staff. What is our date?
Organizations with fewer than 15 employees have until May 10, 2028 to meet WCAG 2.1 AA. The duty to provide equal access, including on request, applies now.
Our patient portal is a vendor's. Are we responsible?
Yes. The rule covers content delivered through contracts and vendors, and a vendor saying “accessible” isn’t enough. We test vendor tools inside your site and check their VPAT against what we find, so you have evidence to take back to them.
The deadline moved. Can we wait?
The May 2026 interim rule moved the technical date, not the duty to give equal access. OCR still investigates complaints today, and fixing portals, vendor tools and documents takes time.
Why not use an accessibility overlay?
Overlays don’t change your source code, so the barriers stay. Suits against sites using widgets ran 95 to 155 a month in 2025. We fix the underlying code and documents.
Do you see patient data?
We test with test accounts in a test environment, not real patient records. We sign an NDA, and a business associate agreement if there is any chance PHI could be seen.
Get a free review of one patient journey
We test one journey, for example booking an appointment, and send a one-page summary plus a 2-minute screen reader video you can forward to leadership.
Prefer to call?