Client Rights Notice

Access to Your Health Records

You have the right to request access to your health care records.

To request records, submit a written request by email, mail, or in person:

• Email: jaclyn@cypressrootscounseling.com
• Mail: 800 N Mallard St., Palestine, TX 75801 or 534 E Commerce St., Fairfield, TX 75840
• Phone: 903-300-2705

Please include your name, date of birth, and the records requested. Your identity will be verified, and requests will be processed within the time required by law.

Licensing Authority

This practice is regulated by the Texas Behavioral Health Executive Council (BHEC):

• Address: 333 Guadalupe St., Suite 2-450, Austin, TX 78701
• Phone: 800-821-3205
• Website: www.bhec.texas.gov

Filing a Complaint

If you have concerns about services:

• You may contact Cypress Roots Counseling directly, or
• You may file a complaint with the Texas Behavioral Health Executive Council using their complaint process.

This notice is posted in compliance with Texas House Bill 4224.