Consumer Access to Health Care Records & Complaint Information

Level Up Counseling Services

Licensed Professional Counselor (LPC)

In accordance with House Bill 4224 (89th Regular Session) and Texas Health & Safety Code §181.105, Level Up Counseling Services provides the following information to assist consumers in:

• Requesting health care records

• Contacting the licensing authority

• Filing a consumer complaint

 How to Request Your Health Care Records

Clients and former clients may request copies of their health care records from Level Up Counseling Services using the form provided at the bottom of this page which is located on google docs.

Phone or Text 254-300-8557

Email (preferred):

 Catherine@levelupbelton.com

Mail:

 1110 W Avenue O, Belton, TX

To avoid delays, please include:

• Full name and date of birth

• Phone number and/or email address

• Description of records requested (entire record or specific dates)

• Preferred delivery method (secure email, mail, or pick-up)

• Your signature and date

If requesting records on behalf of another person, documentation showing legal authority (such as guardianship or medical power of attorney) is required.

Identity verification may be required to protect patient privacy.

Contact the Texas Behavioral Health Executive Council

(Licensing Authority for Licensed Professional Counselors)

Level Up Counseling Services is regulated by the Texas Behavioral Health Executive Council (BHEC).

You may contact the Council using the following webpage:

 https://bhec.texas.gov/contact-us/

Select Licensed Professional Counselor (LPC) when submitting an inquiry.

 File a Consumer Complaint with the Texas Attorney General

Consumers may file a complaint with the Texas Office of the Attorney General – Consumer Protection Division at:

 https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint

Please include relevant dates, names, and supporting documentation if available.

Questions About House Bill 4224

For questions related to HB 4224, Texas Health and Human Services provides the following contact email:

 HCR_PRU@hhs.texas.gov