Walkin' Faith RSVP Form — Heal To Hear

You have the right to receive a Good Faith estimate explaining how much your health care will cost. Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided. • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1- 800-985-3059.

You have the right to request and receive a copy of your mental health records.

To obtain your record submit a written request to your provider via email, secure portal, or mail.

This is in accordance to Texas Health & Safety Code §611.0045

Your provider has 15 days to respond to your written request

according to Texas Health & Safety Code §611.008(a)

Texas Behavioral Health Executive Council (BHEC)

If you have questions about a licensed professional, or wish to make a complaint contact BHEC directly at1801 Congress Avenue, Suite 7.300, Austin, Texas 78701bhec.texas.gov/discipline-and-complaints/ | Enforcement@bhec.texas.gov

1-800-821-3205 | or by using the council's complaint form.

Filing a Consumer Complaint

To file a consumer complaint about mental health services, visit the Texas Office of the Attorney General.

texasattorneygeneral.gov/consumer-protection