Consumer Protection

Access to Records & Complaints

In compliance with Texas House Bill 4224 (89th Regular Session) and Section 181.105 of the Health and Safety Code, we are providing the following instructions for consumers:

1. Requesting Your Health Care Records

You have the right to request a copy of your mental health records at any time. To request your records, please follow these instructions:

• Send a written request via email to ChaseMentalWellness@gmail.com with the subject line "Medical Records Request" to request a release of information form.

• Note: A reasonable, cost-based fee for copies may apply as permitted by Texas law.

2. Contacting the Licensing Council

This practice is licensed under the Texas Behavioral Health Executive Council (BHEC). To contact the Council regarding a licensee, please visit their contact page:
Texas Behavioral Health Executive Council - Contact Us

3. Filing a Consumer Complaint

You have the right to file a complaint regarding consumer protection issues. To file a complaint with the Office of the Attorney General, please visit:
Texas Attorney General - Consumer Protection Division

"No Surprises Act" Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.

• 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.