In accordance with Texas Health and Safety Code Sections 181.103 and 181.105, patients are entitled to receive information regarding how to obtain copies of their medical records, contact the appropriate licensing authority, and file a consumer complaint.
Requesting Medical Records
To request a copy of your medical records, please submit a written request to our office. Requests may be delivered in person, by mail, fax, or email.
Allen Office – Dr. Neil Szeryk, DC, NRCME
TDI Certified Designated Doctor
Address:
550 S. Watters Rd., Suite 112
Allen, TX 75013
Phone:
972-390-9191
Fax:
469-854-2923
Email:
chiroconnection1@gmail.com
Medical Record Requests Should Include
- Patient full name
- Date of birth
- Dates of service requested
- Phone number
- Signature of patient or authorized representative
Records will be provided in accordance with applicable Texas and federal laws. Reasonable fees for copying and/or mailing may apply.
Licensing Authority Information
Texas Board of Chiropractic Examiners
1801 Congress Avenue, Suite 10.500
Austin, TX 78701
Phone:
(512) 305-6700
Website:
https://www.tbce.texas.gov
Filing a Consumer Complaint
Consumers wishing to file a complaint against a chiropractor may contact the Texas Board of Chiropractic Examiners using the contact information above or submit a complaint online through the Board’s website.
Notice of Privacy Practices
A copy of our HIPAA Notice of Privacy Practices is available upon request and posted within the office.