Texas House Bill 4224-Section 181.105

Notice of Compliance

This notice is provided in compliance with Texas House Bill 4224, Section 181.105, effective September 1, 2025. Texas law requires health care providers serving consumers in Texas to post clear instructions regarding how to request health care records, how to contact licensing or disciplinary authorities, and how to file a complaint.

This practice provides services exclusively through Grow Therapy and Tava Health platforms. Records are accessed through these systems. If you experience difficulty using a platform or have questions about your rights, you may always contact the provider directly.

Your Right to Access Records

You have the right to request and receive copies of your health care records, including mental health records, under HIPAA and applicable state privacy laws. These rights apply regardless of payment status.

Records may be requested in electronic or paper format, and reasonable, cost-based fees may apply.

Accessing Records Through Grow Therapy

Grow Therapy requires that record requests begin with your provider through the Grow Therapy client portal.

How to request records via Grow Therapy:

1. Download the HIPAA Authorization Form
       • Go to this page to download the HIPAA Authorization form. This form allows Grow Therapy to release your mental/behavioral health records to you or another party you specify .
2. Fill Out the Form
       • Complete the HIPAA Authorization form with your information and the details of who should receive your records (if not you) .
3. Submit the Request
       • Email the completed HIPAA Authorization form and your request to the      Grow Therapy Records Team. The email address is provided on the same page      where you downloaded the form.

Note:

• The Records Team will handle your request and provide your records, which may include patient identifiers, medical codes, and provider e-signature data .

If you need more details, you can visit the full instructions here.

If your request is delayed, unclear, or not fulfilled through Grow Therapy, you may contact the provider directly using the information listed below.

Accessing Records Through Tava Health

Tava Health allows clients to request access to records through secure communication and its Privacy Office.

How to request records via Tava Health:

1. Log into your Tava Health account or portal
2. Submit a request to your provider through secure messaging or contact Tava Health’s Privacy Office

Tava Health’s Notice of Privacy Practices provides additional details regarding record access, amendments, and complaints.

If your request is delayed, unclear, or not fulfilled through Tava Health, you may contact the provider directly using the information listed below.

Contacting the Provider Directly

If you experience difficulty accessing records through Grow Therapy or Tava Health, or if you have questions regarding your records or privacy rights, you may contact:

Provider: Daphne D. Jones, M.Ed., LPC-S
Phone: 409-215-7178

Secure Email: daphnejones@gardeniatherapy.com

The provider remains responsible for assisting with record access and ensuring compliance with HIPAA and applicable state laws.

Record Request Timelines

• Requests are generally fulfilled within 15 business days when records can be produced electronically
• If additional time is required, you will be notified
• If access is denied in whole or in part, you will receive a written explanation and information on how to file a complaint

Filing a Complaint

If you believe your rights regarding access to records or privacy have been violated, you may file a complaint with the appropriate state or federal authority listed below.

Texas Licensing & Complaint Authorities

Texas Behavioral Health Executive Council (BHEC)
333 Guadalupe Street, Suite 2-450
Austin, TX 78701
Phone: (512) 305-7700
Website: https://bhec.texas.gov

Louisiana Complaint Options

(If you are receiving services while located in Louisiana)

Louisiana Department of Health – Health Standards Section
Health Standards Complaint Form
P.O. Box 3767
Baton Rouge, LA 70821
Fax: 225-342-5073
Email: healthstandards@ldh.la.gov

Louisiana State Inspector General
Office of State Inspector General
P.O. Box 94095
Baton Rouge, LA 70804-9095
Fraud & Abuse Hotline: 1-866-801-2549

Federal HIPAA Complaints

You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights (OCR) regarding privacy or record-access concerns. Complaints may be submitted online, by mail, or by email.

Protection Against Retaliation

You will not be retaliated against, denied services, or treated differently for requesting access to your records, filing a complaint, or exercising your rights under state or federal law.