Patient Rights & Medical Records Information
At Moulton Chiropractic, we are committed to providing excellent care while respecting your rights regarding your health information and treatment.
Requesting Medical Records
Patients may request copies of their medical records in accordance with applicable federal and Texas law.
To request records, please contact our office:
Moulton Chiropractic
Attn: Kris Moulton, Subject line: Records Request
Phone: (817) 251-7250
Email: Office@MoultonChiropractic.com
Requests for records may require a signed authorization form to protect patient privacy. Please allow a reasonable processing time for records requests.
If records are being requested for transfer of care, legal purposes, insurance review, or personal use, additional documentation may be required.
HIPAA Privacy Information
Moulton Chiropractic maintains policies and procedures designed to protect the privacy and security of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Patients may request a copy of our Notice of Privacy Practices at any time.
Licensing Information
Moulton Chiropractic and its providers are regulated by the:
Texas Board of Chiropractic Examiners
Website: Texas Board of Chiropractic Examiners
Filing a Complaint
Patients may file a complaint regarding healthcare privacy practices, records access, or professional conduct with the appropriate state or federal agency.
Texas Attorney General Consumer Protection Division:
Texas Attorney General Consumer Protection Division
U.S. Department of Health & Human Services Office for Civil Rights:
HHS Office for Civil Rights
Contact Information
Kris Moulton, Office Manager
Moulton Chiropractic
Southlake, Texas
Phone: (817) 251-7250
Email: Office@MoultonChiropractic.com
If you have questions regarding your records, privacy rights, or office policies, please contact our office directly.