Maureen Havelka, LCSW-S

Maureen Havelka, LCSW-SMaureen Havelka, LCSW-SMaureen Havelka, LCSW-S

Maureen Havelka, LCSW-S

Maureen Havelka, LCSW-SMaureen Havelka, LCSW-SMaureen Havelka, LCSW-S
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  • HB 4224 Disclosure

HB 4224 Disclosure Consumer Rights

 

In accordance with House Bill 4224 (89th Regular Session) and Texas Health & Safety Code §181.105, here is 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

Clients and former clients may request copies of their health care records from Maureen Havelka LCSW PLLC using one of the following methods:

Email:

maureen.havelka@outlook.com

Mail:

Maureen Havelka LCSW PLLC

1312 17th St #207

Denver, Colorado 80202

To avoid delays, please include the following with your request:

• Full name and date of birth

• Phone number, mailing address and email address

• Description of records requested (entire record or specific dates)

• Preferred delivery method (secure email, mail)

• Your signature and date

If requesting records on behalf of another person, documentation showing legal authority (such as guardianship or medical power of attorney) is required.

Identity verification may be required to protect patient privacy.

Contact the Texas Behavioral Health Executive Council

(Licensing Authority for Licensed Clinical Social Workers)

Maureen Havelka LCSW PLLC is regulated by the Texas Behavioral Health Executive Council (BHEC)

You may contact the Council using the following webpage:

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

Select Social Work when submitting an inquiry

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

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

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