Privacy Policy

for Spine & Rehab Specialists

Effective Date: October 12, 2026

Spine & Rehab Specialists (“we,” “us,” or “our”) is committed to protecting the privacy and security of your personal information. This Privacy Policy explains how we collect, use, disclose, and safeguard your personal information, including information shared through text messages (SMS) and collected via our website: https://www.spinerehab.net/ (the “Website”).

This policy applies to information collected through patient intake forms, in-clinic interactions, phone calls, text messaging, and our Website.

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1. Information We Collect

1.1 Personal Information You Provide

We may collect personal information that you voluntarily provide to us through our online forms, patient portals, intake questionnaires, or when contacting us directly. This may include:

      • Full name
      • Email address
      • Phone / mobile number
      • Date of birth
      • Comments, messages, or inquiry details submitted on our Website or contact forms.

 

1.2 Log Data & Technical Information

Our web servers automatically record information sent by your browser when you visit our Website. This includes:

      • IP address and browser user agent string (used to assist with spam detection and site security)
      • Browser type, device type, and operating system
      • Pages visited, dates and times of visits, and referring URLs
      • Other usage statistics

 

1.3 Comments and User Submissions

When visitors leave comments on the site, we collect the data shown in the comments form, as well as the visitor’s IP address and browser user agent string to aid spam detection. An anonymized string created from your email address (also called a hash) may be provided to the Gravatar service to verify usage (see the Gravatar Privacy Policy). Upon comment approval, your profile picture is visible to the public in the context of your comment.

1.4 Media

If you upload images to the Website, you should avoid uploading images with embedded location data (EXIF GPS) included. Visitors to the Website can download and extract location data from images hosted on the site.

 

2. Cookies, Tracking Technologies & Analytics

We use cookies, web beacons, pixels, and similar tracking technologies to enhance your browsing experience, analyze site usage, and support our marketing efforts.

2.1 Cookies

      • Functional & Session Cookies: If you visit our login page, a temporary cookie is set to determine if your browser accepts cookies (contains no personal data and is discarded when you close your browser). When you log in, cookies save your login credentials (lasting 2 days) and screen display options (lasting 1 year). Selecting “Remember Me” retains login state for 2 weeks. Logging out removes login cookies.
      • Form & Comment Cookies: If you leave a comment on our site, you may opt-in to saving your name, email address, and website in cookies for convenience (lasting 1 year).

 

2.2 Google Analytics & Advertising

We use Google Analytics and related advertising tools to collect statistics on visitor behavior, monitor Website traffic, and evaluate campaign effectiveness. Google Analytics uses cookies to gather anonymous data such as pages viewed, session duration, and device information. For details on how Google handles data, visit Google Privacy & Terms. You may opt out of Google Analytics tracking via the Google Analytics Opt-out Browser Add-on.

2.3 Meta Pixel & Digital Advertising

We utilize the Meta Pixel (formerly Facebook Pixel) and third-party advertising tags to measure conversion actions, optimize digital advertisement delivery, and serve personalized marketing messages to users based on prior visits to our Website. Third parties (such as Meta) may use cookies, web beacons, and other storage technologies to collect or receive information from our Website and use that information to provide measurement services and targeted ads. You can adjust your ad preferences through your Meta account settings or via the Digital Advertising Alliance Opt-Out Tool.

 

3. How We Use Your Information

We use the information we collect for business and clinical operational purposes, including:

      • Responding to patient inquiries and providing information about our physical therapy and diagnostic services
      • Assisting with appointment requests, scheduling, and care management
      • Improving Website performance, usability, layout, and security
      • Communicating important practice updates, administrative notices, and marketing promotions
      • Analyzing user trends and optimizing marketing campaigns

 

3.1 SMS & Mobile Messaging Program

If you opt in to receive text messages (SMS) from Spine & Rehab Specialists, we may send you messages regarding:

      • Appointment reminders, updates, or scheduling changes
      • Follow-up care communications and physical therapy notifications
      • Billing, payment, or administrative updates
      • Practice updates, health tips, promotions, or important notices

 

SMS Opt-In Disclosure: By providing your mobile phone number and opting in, you consent to receive SMS messages from Spine & Rehab Specialists. Consent is not a condition of receiving care. Message frequency varies. Message and data rates may apply.

Opt-Out & Help Instructions: You may opt out of text messages at any time by replying STOP to any message. For assistance, reply HELP to any message or contact us directly at (915) 562-8525 or adriandeluna@spinerehab.net. Carriers are not liable for delayed or undelivered messages.

 

4. Information Sharing and Disclosure

4.1 No Selling or Marketing Sharing of Mobile Data

We do not sell, rent, or lease your personal information to third parties. Mobile information and SMS consent will not be shared with third parties or affiliates for marketing or promotional purposes under any circumstances.

4.2 Trusted Service Providers

We may share non-mobile personal information with trusted third-party service providers (such as website hosts, EMR system providers, spam detection services, and analytics partners) who assist in operating our Website and conducting business. These providers are contractually obligated to keep your data confidential and secure.

4.3 Legal Requirements

We may disclose your information if required to do so by law, court order, or legal proceedings, or if we believe such action is necessary to protect our legal rights, enforce our terms, prevent fraud, or ensure the safety of our patients, staff, or the public.

 

5. Embedded Content from Other Websites

Articles and pages on this site may include embedded content (e.g., maps, videos, scheduling tools). Embedded content from other websites behaves in the exact same manner as if the visitor visited the other website. These third-party sites may collect data about you, use cookies, embed additional tracking, and monitor interaction with embedded content.

 

6. Data Retention & User Rights
  • Retention Period: Comment data and metadata are retained indefinitely for automated approval workflows. Personal data collected via forms or portal registrations is retained as long as necessary to fulfill scheduling, care delivery, internal recordkeeping, and legal compliance obligations.
  • Your Rights: If you have an account or have left comments, you can request an exported file of the personal data we hold about you. You can also request that we erase any personal data we hold about you (excluding data we are required to maintain for legal, medical recordkeeping, administrative, or security purposes).

 

7. Data Security

We implement appropriate administrative, technical, and physical safeguards to protect your personal information against unauthorized access, loss, or alteration. However, no transmission over the internet or electronic storage method is 100% secure, and absolute security cannot be guaranteed.

 

8. Children’s Privacy

Our Website is not directed to children under the age of 13, and we do not knowingly collect personal information online from children under 13. If you believe a child has provided us with personal information, please contact us for prompt removal.

 

9. Changes to This Privacy Policy

We reserve the right to update this Privacy Policy at any time. Updates will be posted on this page with a revised effective date. Continued use of the Website following updates constitutes acceptance of the modified policy.

 

10. Contact Us

If you have questions, concerns, or requests regarding this Privacy Policy or our privacy practices, please contact us at:

Practice Name: Spine & Rehab Specialists
Compliance Officer Email: adriandeluna@spinerehab.net
Phone: (915) 562-8525
Edgemere Office: 6358 Edgemere Blvd., El Paso, TX 79925
Physicians Office: 11855 Physicians Dr., El Paso, TX 79936

Jane Whittington

I am a left below knee amputee since September 14, 2009. I lost my leg due to contracting Necrotizing Fasciitis, this happened in a matter of 2 days. Due to many complications and 2 additional surgeries I did not receive my prosthesis for 2 years. During that time, I was out of work and basically confined to a wheel chair. When I first presented myself to Harry Koster at Spine & Rehab Specialists I was in very very poor condition. Could barely do the most limited of exercises he required with a lot of grunting and complaining. During the first year and half of therapy I received 14 trial legs due to atrophy of my residual limb, which caused many setbacks but I had 2 goals at that time. One was to see my only child graduate from college and two was to dance with him at his wedding. I gained strength during my time and eventually started to walk on the basic treadmill. My endurance was terrible, after 15 minutes and 3 or 4 stops I was done physically until Harry received the Alter-G Anti-Gravity Treadmill. I can now walk for 30 minutes without stopping, no discomfort on my residual limb and no loss of momentum. I highly recommend this treatment for anyone who it is deemed necessary for their treatment for recovery. By the way I did walk down the aisle at my son’s wedding and danced with him also.

My sincerest thanks to the wonderful staff and professionals at Spine & Rehab Specialists!

Elizabeth S. Rodriguez

“Prior to my PT evaluation at Spine & Rehab Specialists with Harry, I had pressure and pain in my lower back, numbness on my left leg and I was frequently falling down out of nowhere. I was very upset and frustrated with myself. When I met with Harry for my evaluation, he was very patient and understanding. Rather than just looking at my MRI, he listened to my concerns and evaluated me. During the Evaluation Harry found that my core was very weak and also that I had pinched nerves, this would be the reason of my falls and pain. I felt very comfortable and I believed in my heart that I was in good hands. I was relieved to know physical therapy would benefit me long term rather than pain management shots that would only put a band aid on my problem. After all my PT sessions and hard work were complete I felt a lot better and stronger with zero falls and feel less numbness as time goes on. I was taught different types of stretches and exercises that I continue doing at home to keep progressing. I couldn’t be more grateful to God and to Harry and his wonderful team for giving me a better quality of life.”

Laurie L. Gonzalez

“I was referred to Harry Koster by my neurosurgeon David Masel MD. Back in 2005. I had a Severe herniated disk that limited my ability to walk further than ½ mile without burning & Pain sensations going down my legs. At that time my Dr. wanted to see if I could improve with PT. While attending PT with Harry, Harry did physical manipulation while teaching me lifelong skills of proper body mechanics, proper exercise that would strengthen my back & overall body. I did both land & aquatic therapy. My pain level significantly decreased and with the techniques used & learned I was able to walk more than 1 mile with minimal pain. I was so impressed with the professionalism & courteous staff there isn’t another therapy place I recommend. Harry Koster/ Spine & Rehab Specialists are truly the BEST & most ethical in El Paso. I decided to pursue to have a laminectomy/ discectomy surgery about 1 & ½ years after I started PT I was still on medication and my husband and I longed for a child. I was 29 years old and was confident in my neurosurgeon (David Masel MD) & fully confident in my PT (Harry Koster). I had the Surgery, got off my medications and started walking the day of my surgery. I kept hearing my PTs voice reminding me that I have to work thru post-op pain and wasn’t going to damage myself but instead get stronger! I attended PT with Harry for several months after surgery. I was able to walk 5 miles and go thru my day without pain & without medication. I would make my PT land exercises apart of my daily routine so that I would be strong enough for a future baby. God blessed my husband & I with 2 beautiful daughters. I am so thankful & so blessed to have had the best team to help me achieve a happy & pain-free “everyday” life! I truly am so thankful for Spine & Rehab Specialists …. Especially my PT Harry Koster. It’s been 10 years since my surgery and am still pain free & not on any medications. I still continue to see Harry Koster (on & off thru the years) for other health ailments that I’ve encountered. He is the BEST! God Bless Harry Koster & his staff, they are so welcoming, friendly, professional & make you feel at home.”

Molinar Rosemary

When I first started therapy, I had dizzy spills and balance issues. With the help of Steve and the staff I have more confidence with my balance. With the stretching exercises and exercises for the dizziness I am able to manage so much better. I feel so much better than when I first started therapy. Thank you, Steve and the staff for helping me feel better.

Sally Upchurch

I was apprehensive to come to physical therapy because I thought it was a waste of time. The experience I had is totally different than what I expected.  Myriam Nunez, PT, DPT and her assistants were awesome. Somedays I felt I was being pushed too hard but it was for the best of my health. I no longer have pain, I am able to do the things that I was not able to do before I got here. I would highly recommend Myriam Nunez, PT, DPT to my fellow coworkers, family, and friends. Everyone from the office personnel was very friendly and made me feel very welcome. They were even all smiles after a hard days work.

Ramon Mendoza Jr.

“Came to Spine & Rehab Specialists due to lower back pain. Ever since my initial visit I have been treated with nothing but attention and respect. My initial pain was at a level 10. I could barley move. Now I can happily say that it has subsided to about a 4. Harry and his staff have played a big role in my decrease in pain. The most noticeable is Harry’s and staff’s attention to doing all exercises correctly. Thank you for your help!”


– Ramon Mendoza Jr.

Audrey Duran

I was in a car accident on November 16, 2016. I went to the doctor and was diagnosed with a slipped disc. I went to the hospital in January for an aggravated disc and was getting harsh muscle spasms. I started coming to Spine & Rehab Specialists and the physical therapy has helped me do more of my everyday living. Steve and Myriam have helped me grow stronger every day and now I can go through a day without having to take pain pills and having hardly any muscle spasms. I am so strong as I can be! Thanks to everyone at the Spine & Rehab Specialists!

Bridgette G. Gause-Bush

My name is Bridgette G. Gause-Bush I am 34 years old, a devoted wife, and mother of one. 
On the 26thof September 2017, I suffered two stokes (Hemorrhagic and Ischemic) both of which went to my central core. I also suffered three heart attacks at the same time. I had to be resuscitated three different times and was clinically brain dead for six and a half minutes. Due to the CPR I had four broken ribs on my left, three on my right, and my sternum had been broken as well. Even through that the Doctors of William Beaumont fought for me, I spent three weeks in the ICU two of which were on a ventilator and two chest tubs. My husband and mother were told there was a marginal chance of survival and even if I did wake up and came back, I would never walk, speak, or have a normal life ever again.
 
When I arrived, I was barely able to walk and that was with considerable help from not only my husband and my mother but also a walker with wheels. Without the walker I was not able to walk around even then it took a significant physical strain and toll on me. I was no longer able to lift anything other than a water bottle in weight with my arms, my balance was non-existent, and it was a chore just to be able to feed myself. I had spent that last two months like this and had almost given up until I meet Anthony.
 
The first day of meeting him not only was the staff very professional and courteous but Anthony showed a true sincere concern for what I had lived through and told me he was going to do everything he could to help me get better and stronger. We started slow and easy, but it was very painful die to the injuries I had sustained. But Anthony truly cared and would make sure I would not over exert myself, but at the same time make me push myself within two weeks of working with Anthony I no longer needed the walker and was working om my balance. I was able to regain some upper body strength as well. By the time April 2018 came around I was able to do a one mile walk for the Fallen Soldiers with no assistance. I credit this to my determination, support from my family and the amazing help that Anthony gave me.
 
One year after the incident Anthony had me pushing a 70-pound sled with 45 pounds of additional weight, riding a stationary bike for five minutes, using training ropes with three sets of 10, getting up and down off the floor on my own. Standing on one foot with my eyes closed and lifting a box with 50 pounds of weight from the ground to a chest level shelf. Anthony continued to push me and build me and made me believe in myself. I can now get in and out of the tub on my own, and most importantly he has given me the ability to pick up my four-year-old daughter again. I’m able to function again with little to no help.
 
Thank you so much Anthony, I will never forget you, and the support of the staff for what you all have done for me and my family.
 
Sincerely 
Bridgette G. Gause-Bush

Frank J. Flores

My physical abilities have greatly improved from my previous conditions.  Due to appropriate and professional therapy, I am now able to continue to develop a full range of mobility. I have always considered myself to be actively above -average. Many years remained uneventful in regard to illness and injury. However, up until a few years ago, my body underwent changes. This transition was more than just something that comes with aging. These afflictions include: brain stroke, peripheral nerve damage, hiatal hernia, hypertension, collapse arch, worn-out left hip, right hip replacement, arthritis of the spine, and other spinal problem. I was also hospitalized shortly before my therapy session. I was tested for another brain stroke. The neurologist congratulated me because it was merely a seizure.
I am currently sixty-six years of age and its fair to say that all this matches up with the years. What doesn’t  seem to match is that all this occurred within the same time-frame. I wasn’t going to settle with these changes. In contrast to my past, I continually labored to do things that one usually does not of second nature. I readily recall having difficulties such as: limited walking and standing, inability to get on or off a sidewalk-curb. Even stepping over sidewalk cracks was difficult. I couldn’t button my shirt, tie my shoelaces, or shave. I didn’t have the strength to lift a five-pound bag of groceries. A stroke inhibited me from getting into my vehicle. Once I was in, I was unable to use the steering wheel, floor stick shifter, or pedals. Aside from my regular daily skills, my secondary objective was to recover at least a portion of my strength.
 
Having patience and remaining focused led to a short-length therapy with Spine & Rehab Specialist. My needs were met, and I have shown improvement due to: pain reduction, increased mobility, use of latent muscles, increased strength, and increased endurance. I feel assured that I can continue an exercise routine without injury. My overall confidence, determination, motivation, and stamina have also increased.
 
My close communication with Anthony Durant PT DPT and Steven Galaviz PTA, allowed me to convey useful information. From this cooperation they proceeded to set up a comprehensive, effective, and beneficial exercise routine.
 
My complete session successfully culminated within an unexpected short amount of time.
 
Thanks Again, 
Frank J. Flores