Liberated Chiropractic

4100 Heritage Ave suite 101, Grapevine TX 76051

817-241-5661

CONSUMER ACCESS TO HEALTH RECORDS AND CONSUMER COMPLAINTS

Pursuant to TX House Bill 4224 Section 181.105 of the Texas Health and Safety Code, please be advised of the following:

1. HOW TO REQUEST ACCESS TO HEALTH CARE RECORDS FROM Liberated Chiropractic:

1. To request access to health care records:

• Contact Dr. Ardoin at Liberated Chiropractic
• Submit request form via email @ care@liberatedchiropractic.com
• Must provide first and last name, phone number, email, and address
• Expect reply from our office with 48 hours

1. HOW TO CONTACT THE DISCIPLINARY / LICENSING AUTHORITY FOR Liberated Chiropracticw

1. The name of the disciplinary/licensing authority is the Texas Board of Chiropractic Examiners (TBCE)
2. Contact information for the Texas Board of Chiropractic Examiners (TBCE):

Website: https://www.tbce.texas.gov

Email: licensing@tbce.texas.gov

Phone Number: (512) 305-6700

Fax Number: (512) 305-6705

Address: 1801 Congress Avenue, Ste. 10.500, Austin, Texas 78701-1319

1. HOW TO FILE A CONSUMER COMPLAINT AS DESCRIBED BY SECTION 181.103 OF THE TEXAS HEALTH AND SAFETY CODE (CHAPTER 181):

1. How to file a complaint under Texas Health and Safety Code Section 181.103: https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint
2. Where to file a complaint under Texas Health and Safety Code Section 181.103: https://www.texasattorneygeneral.gov/consumer-protection
3. To file a complaint directly with Liberated Chiropractic, contact our Office Manager at 817-241-5661. Complaints may be submitted in writing or verbally, and we will respond within [2] business days. We will not retaliate against you for filing a complaint.