NOTICE TO PATIENTS
HOW TO REQUST YOUR MEDICAL RECORDS
Step 1:
Submit a written request to our office by:
Email: ptcoordinator@essence-chiro.com
Fax: (210)926-5767
Mail: Essence Chiropractic & Wellness
1270 N Loop 1604 E, ste 1202
San Antonio, TX 78232
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 records request, contact our office at”
Phone: 210-926-5766
Privacy Policy:
Essence Chiropractic & Wellness is the leading Chiropractic center in the heart of San Antonio & Boerne, Texas that provides all-natural, non-invasive pain management and whole-body wellness.
Types of Information Collected:
Personal Data
While using Our Service, We may ask You to provide Us with certain personally
identifiable information that can be used to contact or identify You. Personally identifiable information may include, but is not limited to:
Email address
First name and last name
Phone number
How Information is Collected
All the information is collected through the website when the patient fills out an online form: https://www.essence-chiro.com/contact
Disclosure of Your Personal Data
Law enforcement
Under certain circumstances, the Company may be required to disclose Your Personal
Data if required to do so by law or in response to valid requests by public authorities
(e.g. a court or a government agency).
SMS Consent or phone numbers are not shared for the purpose of SMS with third parties or affiliates.
Changes to this Privacy Policy
We may update Our Privacy Policy from time to time. We will notify You of any changes
by posting the new Privacy Policy on this page. We will let You know via email and/or a prominent notice on Our Service, prior to the change becoming effective and update the “Last updated” date at the top of this Privacy Policy. You are advised to review this Privacy Policy periodically for any changes. Changes tothis Privacy Policy are effective when they are posted on this page
Contact Us
If you have any questions about this Privacy Policy, You can contact us: Call/Text (210) 926-5766
Terms and Conditions:
By accessing or using our services, including receiving SMS communications, you agree to comply with and be bound by these Terms and Conditions. If you do not agree with these terms, please do not engage with our services.
Consent for SMS Communication
By providing your consent to receive SMS communications, you acknowledge and agree to receive text messages from [Business Name] at the phone number you provide. Information obtained as part of the SMS consent process will not be shared with third parties.
Types of SMS Communications
If you have consented to receive text messages, you may receive SMS communications related to the following:
Customers and Guests: Updates regarding your orders, deliveries, or other relevant information.
Job Applicants: Information about your application status, onboarding materials, or other employment-related updates.
Standard Messaging Disclosures
Message and data rates may apply. Standard messaging rates will be charged by your mobile service provider.
You can opt-out of receiving SMS messages at any time by texting "STOP" to the number from which you received the message.
For assistance, text "HELP" or visit our [Privacy Policy URL] and [Terms of Service URL].
Privacy
We respect your privacy and will only use the information you provide to communicate with you via SMS as outlined above. Your personal data will not be shared with third parties unless required by law or as necessary to deliver the requested service.
Modifications
We reserve the right to update or modify these Terms and Conditions at any time. Any changes will be posted on this page with an updated revision date. By continuing to engage with our services, you agree to be bound by any changes to these terms.
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 Strett, Ste. 3-825
Austin, Texas 78701
You may contact the board regarding:
Licensing questions
Disciplinary matters
Professional conduct concerns
Filing 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
Step 2.
Complete the online complaint form or request a paper complaint form.
Step 3.
Provide:
You 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 Generals 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