(Texas Law & HIPAA Compliant)

✅ You Have the Right To:

• See or get copies of your medical records.

• Ask for corrections if something is wrong.

• Receive records in paper or electronic form (when available).

• Choose someone else to receive your records for you.

📋 How to Request:

1. Fill out our Medical Records Request Form (front desk or website).

1. Show a valid photo ID.

1. Submit in person, by mail, or electronically.

⏳ Processing Time:

We will respond within 15 business days as required by Texas law.

📞 Need Help?

Medical Records Department

📱 (940) 268‑3839

📧 c.chappell@dentonfootandanklesurgery.com.com

💙 Your health information belongs to YOU.

We protect your privacy while making sure you can access your records quickly and easily.

Texas law provides certain rights regarding privacy of and access to health care records (Texas Health & Safety Code, Chapter 181, Medical Records Privacy). To file a consumer complaint alleging a violation of your privacy rights regarding protected health information, contact the Texas Office of the Attorney General, Consumer Protection Division.

Report suspected violations of statutes or rules enforced by the Texas Department of Licensing and Regulation by contacting the Department or calling (800) 803-9202.