Consumer Access to Health Care Records and Complaint Information
Therapy with Kimberly | Kimberly Powers, LMFT
Kimberly Powers
Licensed Marriage & Family Therapist #205447
In accordance with House Bill 4224 and Texas Health and Safety Code Section 181.105, Kimberly Powers 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 clients may request copies of their counseling and mental health records maintained by Kimberly Powers.
Requests may be submitted using one of the following methods:
Email preferred
kimberly@holywildwithin.com
Mail
2930 Domingo Ave #1294
Berkeley, CA 94705
Office phone
510-462-2882
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.
Licensing Authority Information
Kimberly Powers, LMFT is regulated by the Texas Behavioral Health Executive Council, the licensing authority for Licensed Marriage & Family Therapists 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 Marriage & Family Therapist as the license type.
Filing 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: