Consumer Access to Health Care Records and Complaint Information
Embody Wellness, PLLC
Dara Hendon, LCSW-S
License Clinical Social Work Supervisor #60825
In accordance with House Bill 4224 and Texas Health and Safety Code Section 181.05, Embody Wellness, PLLC provides the following information to assist clients and members of the public with
Requesting access to health care records
Contacting the state licensing authority
Filing a consumer complaint
How to Request Your Health Care Records
Current and former client may request copies of their counseling and mental health records maintained by Embody Wellness, PLLC. Requests must be submitted using the Authorization for Release of Protected Health Information available below
Request may be submitted using one of the following methods:
Email preferred:
Info@EmbodyWellnessTherapy.com
Office Phone
(469) 269-5324
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 methods 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.
Licensing Authority Information
Embody Wellness, PLLC is regulated by the Texas Behavioral Health Executive Council, the licensing authority for Social Workers in the State of Texas.
Questions regarding licensure or professional regulation may be submitted through the councils website:
https://bhec.texas.gov/contact-us/
When submitting an inquiry, select Social Work as license type.
Filing a Consumer Complaint
Client 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://texasattorneygeneral.gov/consumer-protection/file-consumer-complaint
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: