NOTICE TO PATIENTS

ACCESS TO HEALTH RECORDS & CONSUMER COMPLAINT INFORMATION

In accordance with Texas Health & Safety Code 181.105, patients are entitled to instruction regarding:

  • Requesting medical records
  • Contacting the applicable licensing authority
  • Filing a consumer complaint

How to Request Your Medical Records

Step 1:

Submit a written request to our office by:

  • Email: contact.kapsner@gmail.com
  • Fax: (512) 441-3762
  • Mail:

Kapsner Chiropractic Centers
1701 W Ben White Blvd Ste 160
Austin, TX 78704

In person during normal business hours

Step 2:

Include the following information:

  • Full Name
  • Date of Birth
  • Phone Number
  • Date of Treatment requested
  • Specific records requested
  • Signature and date

Step 3:

Provide a Copy of a valid government- issued photos ID

Step 4:

Our office will process your request in accordance with applicable Texas Law and HIPAA regulations.

*Reasonable copying and mailing fees may apply as permitted by law*

For questions regarding record requests, contact our office at phone number: (512) 441-1240

How to Contact the Chiropractic Licensing Authority

Texas Chiropractors are regulated by the:

  • Texas Board of Chiropractic Examiners
  • Website: TBCE.com
  • Phone: (512) 305-6700
  • Mailing Address:

Texas Board of Chiropractic Examiners
333 Guadalupe Street, Ste. 3-825
Austin, Texas 78701

You may contact the board regarding:

  • Licensing questions
  • Disciplinary matters
  • Professional conduct concerns
  • Filing a complaint against a chiropractor

How to File a Consumer Complaint

Patients may file a consumer complaint regarding protected health information, privacy rights, or health care concerns under Texas Health & Safety Code 181.103.

Step 1:

Visit the Texas Attorney General Consumer Protection Website

  • www.texasattorneygeneral.gov

Step 2.

Complete the online complaint form or request a paper complaint form.

Step 3.

Provide:

  • Your contact information
  • Name of the provider or facility
  • Description of the complaint
  • Relevant dates and supporting documents

Step 4:

Submit the complaint through the Attorney General's Website or by mail.

  • PO BOX 12548 Austin, TX 78711-2548
  • Attorney General Consumer Protection Division
  • Phone: (800) 621-0508

This Notice is provided pursuant to Texas Health & Safety Code 181.103 and 181.05