NOTICE TO PATIENTS

ACCESS TO HEALTH RECORDS & CONSUMER COMPLAINT INFORMATION

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

        1. Requesting medical records

        2. Contacting the applicable licensing authority

        3. Filing a consumer complaint

1. HOW TO REQUEST YOUR MEDICAL RECORDS

Step 1: Submit a written request to our office by:
                Email: drallie@lotusatx.com
                Mail: Lotus Chiropractic & Acupuncture
                        8133 Mesa Drive, Ste. 103
                        Austin, TX 78759
                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 photo 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 records request, contact our office at:
Phone: 512.270.9580

2. HOW TO CONTACT THE CHIROPRACTIC LICENSING AUTHORITY

        Texas Chiropractors are regulated by the:
                Texas Board of Chiropractic Examiners
                Website: www.tbce.state.tx.us
                Phone: (512) 305-6700
                Mailing Address:
                Texas Board of Chiropractic Examiners
                1801 Congress Avenue
                Ste. 10.500
                Austin, Texas 78701-1319

        You may contact the board regarding:
                Licensing questions
                Disciplinary matters
                Professional conduct concerns
                Filing complaint against a chiropractor

3. HOW TO FILE A CONSUMER COMPLAINT

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

Step 1: Visit the Texas Attorney General Consumer Protection Website
                www.texasattorneygeneral.gov

OR call the:

Attorney General Consumer Protection Division
               Phone: (800) 621-0508

Step 2. Under the menu, select File a Complaint. Select Consumer Complaint and 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 Website or by mail.
                        PO BOX 12548
                        Austin, TX 78711-2548

               

This Notice is provided pursuant to Texas Health & Safety Code 181.103 and 181.105