Your Privacy Rights
Good Faith Estimate
Consumer Access to Health Care Records & Complaint Information
In accordance with House Bill 4224 (89th Regular Session) and Texas Health & Safety Code ยง181.105, Renewed Mindset Therapy 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 Renewed Mindset Therapy using the Consent for Release of Information form in the link. You can return the form by mail or email.
Email (preferred): Tiffany@RenewedMindset.org
Mail: Renewed Mindset Therapy
751 East Debbie Ln
Suite 105
Mansfield, TX 76063
To avoid delays, please include:
*Full name and date of birth
*Phone number and email address
*Description of records requested (entire record or specific dates)
*Preferred delivery method (secure email, mail, or pick-up)
*Your signature and date
Please note: 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.
For Licensing Verification or Complaints
Renewed Mindset Therapy 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 Clinical Social Worker (LCSW) when submitting an inquiry.
To File a Consumer Complaint with the Texas Attorney General
Consumers may file a complaint with the Texas Office of the Attorney General โ 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