Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
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.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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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. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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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
Notice to Consumers - TX Mental Health
In accordance with Texas law (House Bill 4224 and Section 181.105 of the Texas Health and Safety Code), the following information is provided to help consumers understand their rights and available resources.
Request your health care records
Clients have the right to request access to their health care records. To contact us about requesting your records, submit a written request by email or through the secure client portal, including your full name, date of birth, and the specific records you are requesting.Requests may be subject to identity verification and applicable fees as permitted by law.Records will be provided within the timeframe required by Texas law.If you have questions about requesting records, please contact the practice directly using the contact information listed on this website.
Texas Behavioral Health Executive Council (BHEC)
To speak with the licensing board about licensure or professional standards, you may do so through the Texas Behavioral Health Council. You may reach them by US Post at George H.W. Bush State Office Bldg., 1801 Congress Ave., Ste. 7.300, Austin, TX 78701 or by phone at (512) 305-7700
Attorney General Office
For consumer complaints, you can file a complaint here, reach them at Consumer Protection Hotline: (800) 621-0508 or Mailing Address: PO Box 12548, Austin, TX 78711-2548
This process is independent of the practice and allows consumers to raise concerns related to services provided in Texas.