Accessibility Statement

1. Our Commitment

NowMedical, Inc. is committed to ensuring digital accessibility for people of all abilities. We believe that healthcare should be accessible to everyone, and that includes the technology used to access healthcare services. We are continually improving the user experience for all visitors and applying the relevant accessibility standards to ensure we provide equal access to all users.

We strive to conform to the Web Content Accessibility Guidelines (WCAG) 2.1, Level AA, published by the World Wide Web Consortium (W3C). These guidelines define how to make web content more accessible to people with a wide range of disabilities, including visual, auditory, physical, speech, cognitive, language, learning, and neurological disabilities.

Our commitment extends to compliance with the Americans with Disabilities Act (ADA), Section 508 of the Rehabilitation Act, the European Accessibility Act (EAA), and EN 301 549 (the European standard for digital accessibility).

2. Conformance Status

The current accessibility conformance status of the NowMedical platform is as follows:

Definitions: Fully conformant means the content fully conforms to the standard without any exceptions. Partially conformant means some parts of the content do not fully conform to the standard; known gaps are being actively addressed.

3. Accessibility Features

We have implemented the following accessibility features across the NowMedical platform:

Keyboard Navigation

• All interactive elements (links, buttons, form fields, menus, modals) are fully accessible via keyboard.
• Logical tab order follows the visual reading order of the page.
• Skip navigation links are provided to bypass repetitive content and jump to main content areas.
• Keyboard shortcuts are available for common actions (documented in the platform help center).
• No keyboard traps exist; users can navigate away from all components using standard keyboard controls.

Screen Reader Compatibility

• Tested with NVDA (Windows), VoiceOver (macOS/iOS), and TalkBack (Android).
• ARIA (Accessible Rich Internet Applications) landmarks, roles, states, and properties are used throughout the platform.
• Dynamic content changes are announced to assistive technologies using ARIA live regions.
• Form inputs are programmatically associated with their labels, instructions, and error messages.
• Custom components (date pickers, dropdowns, modals) include appropriate ARIA attributes.

Color and Visual Design

• Text meets a minimum contrast ratio of 4.5:1 for normal text and 3:1 for large text (WCAG 2.1 AA Level 1.4.3).
• Non-text elements (icons, form boundaries, charts) meet a minimum contrast ratio of 3:1 (WCAG 2.1 AA Level 1.4.11).
• Color is never used as the sole means of conveying information; visual indicators such as icons, patterns, or text labels are always provided alongside color.
• Link text is distinguishable from surrounding body text through underlines or other non-color indicators.

Text and Content

• All images include descriptive alternative text (alt text) that conveys the meaning or function of the image.
• Decorative images are marked with empty alt attributes so screen readers can skip them.
• Text can be resized up to 200% without loss of content or functionality.
• Content reflows properly at different viewport sizes without horizontal scrolling (up to 320px width).
• Page titles are descriptive and unique for each page.
• Headings are used in a logical, hierarchical order (h1 through h6).

Focus Indicators

• Visible focus indicators are provided on all interactive elements.
• Focus indicators have sufficient contrast (at least 3:1 against adjacent colors).
• Focus order follows a logical and intuitive sequence.
• Focus is managed appropriately when modals, dialogs, and overlays open and close.

Responsive Design

• The platform is fully responsive and usable across desktop, tablet, and mobile devices.
• Touch targets meet a minimum size of 44x44 CSS pixels (WCAG 2.5.5 AAA / 2.5.8).
• Content adapts to both portrait and landscape orientations without restriction.
• Pinch-to-zoom is not disabled; users can zoom up to 500% on mobile devices.

Reduced Motion Support

• Animations and transitions respect the prefers-reduced-motion operating system setting.
• When reduced motion is enabled, animations are minimized or replaced with instant state changes.
• No content relies on motion alone to convey meaning.
• Auto-playing video or animation can be paused, stopped, or hidden by the user.

Semantic HTML

• Semantic HTML5 elements are used throughout (header, nav, main, section, article, aside, footer).
• Lists use proper list markup (ul, ol, li).
• Tables include appropriate headers (th), captions, and scope attributes.
• Forms use fieldset and legend elements for related groups of form controls.
• Language attributes are set on the html element and on any elements with a different language.

Telehealth Accessibility

• Video call controls are keyboard accessible and labeled for screen readers.
• Captions and transcription options are available during telehealth visits.
• Audio-only participation is supported for patients who cannot use video.
• Chat functionality is available as an alternative communication method during visits.

4. Technologies Used

The accessibility of the NowMedical platform relies on the following technologies:

• HTML5
• CSS3 (including CSS custom properties and media queries)
• JavaScript (ECMAScript 2020+)
• WAI-ARIA 1.2 (Accessible Rich Internet Applications)
• React 19 and Next.js 15 (with server-side rendering for improved accessibility)
• SVG (Scalable Vector Graphics) with appropriate accessibility attributes

The platform is designed to work with the following assistive technology combinations:

• NVDA with Firefox and Chrome (Windows)
• JAWS with Chrome and Edge (Windows)
• VoiceOver with Safari (macOS and iOS)
• TalkBack with Chrome (Android)
• Windows Narrator with Edge (Windows)

5. Known Limitations

Despite our efforts to ensure full accessibility, some areas of the platform have known limitations that we are actively working to address. We welcome feedback on any issues you encounter.

6. Feedback

We welcome your feedback on the accessibility of the NowMedical platform. If you encounter any accessibility barriers, have difficulty accessing any content or functionality, or have suggestions for improvement, please let us know:

We aim to respond to accessibility feedback within 5 business days and to resolve reported issues within 30 business days where technically feasible. For critical accessibility barriers that prevent access to essential healthcare services, we will provide an alternative means of access within 2 business days.

7. Assessment Approach

NowMedical assesses the accessibility of the platform through the following methods:

Self-Evaluation

• Our development team conducts accessibility reviews during the design and development of every feature.
• Accessibility acceptance criteria are included in all user stories and feature specifications.
• Code reviews include accessibility checks as a required quality gate.

Automated Testing

• Automated accessibility testing tools (axe-core, Lighthouse) are integrated into our CI/CD pipeline.
• Every pull request is automatically tested for WCAG 2.1 A and AA violations before merge.
• Regular full-site automated scans are conducted weekly using WAVE and axe Monitor.

Manual Testing

• Manual keyboard-only testing is performed for all interactive features.
• Screen reader testing is conducted with NVDA, VoiceOver, and TalkBack for all new features and major updates.
• Color contrast is verified using manual checks and automated tools.

User Testing

• We conduct usability testing sessions with users who have disabilities, including users of screen readers, screen magnifiers, voice control, and switch devices.
• User testing is conducted at least twice per year and for major feature releases.
• Feedback from accessibility testing is tracked and prioritized in our development roadmap.

Third-Party Audits

• We commission annual third-party accessibility audits from certified accessibility consultants.
• Audit findings are documented and remediated according to priority and severity.
• A Voluntary Product Accessibility Template (VPAT) is available upon request.

8. Formal Complaints

If you are not satisfied with our response to an accessibility issue, you have the right to file a formal complaint with the relevant regulatory authority:

United States (ADA / Section 508)

• U.S. Department of Justice, Civil Rights Division: You may file an ADA complaint at ada.gov or by calling the ADA Information Line at 1-800-514-0301 (voice) or 1-800-514-0383 (TTY).
• U.S. Department of Health and Human Services (HHS), Office for Civil Rights: For complaints related to healthcare accessibility, file at hhs.gov/ocr.
• Section 508: Federal employees and members of the public may file complaints about Section 508 compliance at section508.gov.

European Union (European Accessibility Act)

• Under the European Accessibility Act (EAA) and the Web Accessibility Directive, you may file a complaint with the market surveillance authority in your EU member state.
• You may also contact the European Commission via the European Accessibility Resource Centre.

United Kingdom

• Equality Advisory Support Service (EASS): Contact EASS for advice and assistance at equalityadvisoryservice.com or by calling 0808 800 0082.
• Equality and Human Rights Commission (EHRC): You may file a complaint at equalityhumanrights.com.

Australia

• Australian Human Rights Commission: You may file a complaint under the Disability Discrimination Act 1992 at humanrights.gov.au.

Canada

• Accessibility Commissioner: Under the Accessible Canada Act, complaints may be filed with the Accessibility Commissioner at accessibilitychrc-ccdp.gc.ca.
• Canadian Human Rights Commission: File a complaint at chrc-ccdp.gc.ca.

9. Contact Information

For any questions, concerns, or requests related to accessibility, please contact our dedicated Accessibility Team: