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The Chiropractor’s Guide to HIPAA – Compliant Responses to Online Patient Reviews

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Stella Crosti

By Stella Crosti

Published June 11, 2025

4 min read

Online reviews are one of the most powerful tools for chiropractors to build trust, enhance their online reputation, and attract new patients. When prospective patients scan your reviews, it’s not always the negative comments that shape their impression—it’s how you respond to them.

Yet many providers hesitate to engage due to concerns about HIPAA compliance. At Perfect Patients, chiropractors often ask us: “What if I say too much?” or “What if I accidentally break a rule?”

The good news? You absolutely can respond to reviews, even negative ones, while staying HIPAA compliant. Here’s how to do it safely and effectively.
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Why Responding to Reviews Matters

If you’re not responding to reviews yet, here’s why you should start:

Patients expect it. Today’s consumers want to see businesses that care about feedback and are actively engaged with their community.

It boosts your visibility. Platforms like Google favor active listings. Responding to reviews helps improve your local search ranking and gets you in front of more potential patients.

It builds trust. Even when a review isn’t positive, your professional and polite response can leave a great impression on potential patients who are reading through your reviews.
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The HIPAA Challenge

The Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy, even in public settings like review platforms. This means you need to be careful about several key areas when responding to reviews.

What you can’t do:

  • Confirm that someone is your patient
  • Mention specific treatments, appointments, or outcomes
  • Get into a back-and-forth discussion, even if a review contains false information

Yes, this can feel restrictive, but it’s entirely manageable with the right approach.
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HIPAA-Compliant Response Strategies

✅ Keep It General and Thankful

What to say:

  • “Thank you for your feedback!”
  • “We appreciate you taking the time to leave a review.”

This approach shows you value patient input without confirming any specific patient relationship.

✅ Redirect the Conversation Offline

Example response: “We’d love to learn more about your experience. Please call our office so we can assist you directly.”

This keeps things professional while moving sensitive conversations to a private setting where you can address concerns properly.

❌ Don’t Confirm Patient Status

Even something that seems innocent, like “We’re so glad your adjustment helped!” crosses the line because it implies that care was provided.

❌ Don’t Debate or Defend Publicly

Even if a review contains misleading information, resist the urge to explain or argue publicly. Instead, respond respectfully and invite them to reach out privately.
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Ready-to-Use Response Templates

Want to save time and ensure you’re always responding appropriately? We’ve created a comprehensive collection of copy-and-paste templates for every type of review scenario you might encounter.

EXPLORE HIPAA COMPLIANT RESPONSE TEMPLATES

Sample responses:

For positive reviews: “Thank you for your kind words! We appreciate your feedback and look forward to continuing to serve our community.”
For negative reviews: “We’re sorry to hear about your experience. Please contact our office directly so we can better understand and help address your concerns.”
For vague or confusing reviews: “Thank you for sharing your thoughts. We’re always working to improve our patient experience. Please reach out to our office so we can assist you further.”

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Best Practices for Your Practice

Train your team. Make sure only designated staff members handle online review responses, and ensure they’re properly trained in HIPAA compliance requirements.

Keep responses short and neutral. Don’t overexplain or show emotion, especially when dealing with difficult reviews.

Consider professional help. Not sure what to say? Perfect Patients can help craft responses that are safe, professional, and on-brand for your practice.
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You Can Engage Without Overstepping

Responding to reviews doesn’t mean putting your license or reputation at risk. When done correctly, it’s an opportunity to show you’re attentive, caring, and committed to high standards—all while protecting patient privacy.

Remember: Your expertise and the life-changing care you provide every day speak louder than any online rating. Don’t let one comment overshadow the difference you make in your patients’ lives.

Ready to strengthen your online reputation safely? You don’t have to choose between staying HIPAA compliant and engaging with your patients online. With the right approach and support, you can respond to reviews confidently and professionally.
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Common Questions About HIPAA and Review Responses

How should I train my staff on HIPAA-compliant review responses? Hold regular training sessions using real-world examples of compliant and non-compliant responses. Provide written policies and response templates, and ensure only approved team members are authorized to reply to reviews.

Are there legal risks for accidental HIPAA violations in review responses? Yes, even accidental disclosures can lead to fines or investigations by the Office for Civil Rights (OCR). This is why it’s crucial to keep all public responses general and never reference specific treatments or outcomes.

How can I encourage more positive reviews from patients? Simply ask! After a great appointment, say: “We hope you had a wonderful experience today. If we’ve helped you feel better, we’d love it if you could leave us a review to help others find the same relief.” You can also follow up with a text or email including a direct link, or use a QR code at your front desk.

Need help managing your online presence? Perfect Patients can manage your online reputation. Protect your brand while you focus on providing exceptional patient care.

Ready to build a stronger online reputation?

Perfect Patients specializes in helping chiropractors navigate the digital world safely and effectively. From HIPAA-compliant review monitoring to complete digital marketing strategies, we handle the technical details so you can focus on what you do best- helping patients feel their best.

Let’s connect and explore how we can help you build trust, attract more patients, and grow your practice through strategic online engagement.
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