LEGAL NOTICES

This Privacy Notice is being provided to you as a requirement by Federal Law--the Health Insurance Portability and Accountability Act (HIPAA)- --effective April 14, 2003, and updated February 16, 2026.

This office transmits patient protected health information electronically.

NO SURPRISES ACT NOTICE

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1 800-985-3059.

TEXAS HOUSE BILL 4224

CONSUMER ACCESS TO MEDICAL RECORDS AND CONSUMER COMPLAINTS

This notice is posted in compliance with Texas Health and Safety Code §181.105, enacted by HB 4224 (89th Regular Session) – Effective September 1, 2025.

Patients have the right to access, inspect, and obtain a copy of their healthcare records and to receive information on how to submit questions or complaints.

TO REQUEST YOUR HEALTH CARE RECORDS

Patients may request copies of their medical records by completing the Patient Request for Medical Records Form. This form can be obtained by using any of the following methods:

In person: visit our front desk during regular business hours to complete the form.
Complete the form found here: Medical Records Release

TO CONTACT THE APPLICABLE LICENSING OR DISCIPLINARY AUTHORITY

Texas Board of Chiropractic Examiners

1801 Congress Avenue Suite 10.500

Austin, Texas 78701

(512) 305-6700

www.tbce.state.tx.us/complaint-information.html

Office for Civil Rights (OCR)

www.hhs.gov/ocr/index.html

TO FILE A CONSUMER COMPLAINT

Office of the Attorney General

Consumer Protection Division

P.O. Box 12548 - Austin, TX 78711-2548