Consumer Access to Health Care Records & Complaint Information

Tierra Clara Therapy, PLLC

Evelyn Duran

Licensed Professional Counselor Associate, NCC

Supervised by Myra Hernandez, PhD, LPC-S

In accordance with House Bill 4224 and Texas Health and Safety Code Section 181.105, Tierra Clara Therapy, PLLC provides the following information to assist clients and members of the public with:

How to Request Your Health Records

Current and former clients may request copies of their counseling and mental health records maintained by Tierra Clara Therapy, PLLC .

Requests may be submitted using one of the following methods:

Your Client Portal (preferred)

Email (preferred)
evelyn@tierraclaratherapy.com

Mail
5900 Balcones Dr. Suite 9363
Austin, TX 78731

Office phone
(512)222-9074

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 or mail
• 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.

Authorization To Release Information Form

Licensing Authority Information

Terra Clara Therapy, PLLC is regulated by the Texas Behavioral Health Executive CounciI (BHEC), 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.

How to File a Consumer Complaint

Clients or members of the public who wish to file a consumer complaint may do so through the Texas Office of the Attorney General Consumer Protection Division.

Complaints may be submitted online at:

https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint

When submitting a complaint, include relevant dates, names, and any supporting documentation if available.

Questions Regarding House Bill 4224

For questions related to House Bill 4224 or consumer access requirements under Texas law, Texas Health and Human Services may be contacted at:

HCR_PRU@hhs.texas.gov