CDL DOT Physical
Patients' Rights
ACCESS TO MEDICAL RECORDS AND COMPLAINT INFORMATION
Pursuant to Texas Health & Safety Code ยง181.105
REQUESTING YOUR MEDICAL RECORDS
You have the right to request a copy of your medical records.
To request your records:
1. Submit a written request to our office.
2. Include your full name, date of birth, phone number, and a description of the records requested.
3. Provide a valid photo ID.
4. Requests may be submitted in person at our office, by mail, by email
Please allow the time permitted by Texas law for processing. Applicable copying or administrative fees may apply.
For questions regarding medical records, contact:
Dr. Jordan White, D.C.
210-275-4600
10008 Wurzbach Rd., San Antonio, TX 78230
CONTACTING OUR LICENSING AUTHORITY
If you have questions regarding professional licensing or wish to file a complaint regarding the provider's professional conduct, you may contact: Texas Board of Chiropractic Examiners Phone: (512) 305-6700
Website: https://www.tbce.texas.gov
FILE A CONSUMER COMPLAINT
If you believe your medical privacy rights have been violated or wish to file a complaint regarding access to your health records, you may submit a complaint to:
Texas Attorney General Consumer Protection Division: Phone: (800) 621-0508
Website: https://www.texasattorneygeneral.gov/consumer-protection
You may also contact the applicable licensing board listed above.
This notice is provided in accordance with Texas Health & Safety Code §181.105.