Practice Disclaimers

 

Complaint Notice

The Texas Behavioral Health Executive Council investigates and prosecutes professional misconduct committed by marriage and family therapists, professional counselors, psychologists, psychological associates, social workers, and licensed specialists in school psychology. Although not every complaint against or dispute with a licensee involves professional misconduct, the Executive Council will provide you with information about how to file a complaint. Call 1-800-821-3205 for more information. (Texas Behavioral Health Executive Council — 333 Guadalupe Street, Tower 3, Room 900, Austin, Texas 78701)

No Surprises Act Notice

Under Section 2799B-6 of the Public Health Service Act, the “No Surprises Act,” you have a right to receive a “good faith estimate” explaining how much your therapy services will cost. Healthcare providers are required to provide clients who do not have insurance or who choose not to use their insurance for therapy services with an estimate of the cost of those services.

  • You have the right to receive a Good Faith Estimate for the total cost of therapy services.

  • Make sure your therapist gives you a Good Faith Estimate in writing at least 1 business day before your appointment. You may also ask your therapist for a Good Faith Estimate before you schedule an appointment.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call HHS at 1-800-958-3059.

Privacy & Confidentiality

For the security of your protected health information (PHI), keep email messages brief, limited to scheduling purposes, and do not include significantly detailed personal and/or clinical information. Any PHI sent via email or the consultation request form above are not end-to-end encrypted and, therefore, is not guaranteed confidential.  Current clients are required to send PHI via the designated secure client portal only.

Under the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH Act), and the Texas Health & Safety Code, I am required to protect the privacy of your health information. There may be some circumstances where I am authorized and/or required by law to disclose your PHI. Access the complete Notice of Privacy.

Emergency & Crisis Disclaimer

 The contact information/form above does not constitute an emergency or crisis support service. Email, text message, form submission, and/or voicemail are not suitable for emergency communication and/or situations. The phone number and email listed will only be attended during the office hours listed (excluding holidays) and may take up to 1-2 business days for a response.

If you are experiencing a medical emergency and/or mental health crisis, including thoughts of suicide please utilize the following: