Consumer Access to Health Care Records & Complaint Information

Intentional Therapy PLLC

In accordance with House Bill 4224 (89th Regular Session) and Texas Health & Safety Code §181.105, Intentional Therapy PLLC 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
Current and former clients may request copies of their counseling and mental health records maintained by Intentional Therapy PLLC. Requests must be submitted using the Records Request Form available at the following link :

Requests may be submitted using one of the following methods:

Email preferred
info@intentionaltherapypllc.com

Mail
5903 NW Favian Ave, Port St Lucie, FL 3498

In-person/Telehealth
By appointment only

Office phone
(214) 506-8094

To help prevent delays, please include the following information with your request:

• Client full legal name and date of birth
• Current phone number and or email address
• Description of records requested, including specific dates if applicable
• Preferred method of delivery, such as secure electronic delivery, mail, or in-person pickup
• Client signature and date

If records are requested on behalf of another individual, documentation verifying legal authority is required. Examples include guardianship documentation or medical power of attorney.

Identity verification may be required to protect client privacy and confidentiality in accordance with applicable state and federal laws.

Contact the Texas Behavioral Health Executive Council

Intentional Therapy PLLC is regulated by the Texas Behavioral Health Executive Council, the licensing authority for Licensed Professional Counselors in the State of Texas.

Questions regarding licensure or professional regulation may be submitted through the Council’s website:

https://bhec.texas.gov/contact-us/

When submitting an inquiry, select Licensed Professional Counselor as the license type.

 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