In compliance with Texas House Bill 4224 and Section 181.105 of the Texas Health and Safety Code, the following information is provided to ensure you understand your rights as a consumer of behavioral health services.

How to Request Your Health Care Records

You have the right to access your health care records maintained by our practice. To request your records, please:

1. Submit a written request - You may make your request in writing by email, mail, or in person during regular business hours

2. Provide identification - Include your full name, date of birth, and contact information to verify your identity

3. Specify the records needed - Indicate which records you are requesting and the date range, if applicable

4. Allow processing time - We will respond to your request within 15 business days as required by Texas law

Contact us to request your records:

• Email: info@nicoledavislcsw.net

• Phone: 830-928-8199

• Mail: 1700 Sidney Baker St, Ste 300, Kerrville, TX 78028

Under the Health Insurance Portability and Accountability Act (HIPAA) and Texas law, you have the right to inspect, obtain copies of, and request amendments to your protected health information. There may be reasonable fees associated with copying and mailing your records.

Contact the Texas Behavioral Health Executive Council

As a Licensed Professional Counselor, I am regulated by the Texas Behavioral Health Executive Council (BHEC), which oversees professional counseling practice in Texas.

To contact the BHEC:

• Website Contact Form: https://bhec.texas.gov/contact-us/

• Phone: (512) 305-7700

• 24-Hour Toll-Free Complaints Line: (800) 821-3205

• Mailing Address: Texas Behavioral Health Executive Council 1801 Congress Ave., Suite 7.300 Austin, TX 78701

The BHEC can provide information about licensing requirements, continuing education, and the complaint process for Licensed Professional Counselors.

File a Consumer Complaint with the Texas Attorney General

If you have concerns about consumer-related issues, you have the right to file a complaint with the Office of the Attorney General's Consumer Protection Division.

To file a consumer complaint:

• Online Complaint Form: https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint

• Phone: Contact the Consumer Protection Hotline at (800) 621-0508

• Mail: Office of the Attorney General Consumer Protection Division P.O. Box 12548 Austin, TX 78711-2548

Important Information About Filing Complaints:

• Complaints filed with the Consumer Protection Division are public records under Texas law

• The Attorney General's office cannot serve as your personal attorney or provide individual legal advice

• Be prepared to provide detailed information about your complaint, including business name, contact information, dates, and supporting documentation