Notice of Right to Receive a Good Faith Estimate
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services.
• You have the right to receive a “Good Faith Estimate” explaining how much your therapy services will cost.
• My fee is $150 per 50-minute session.
• The total cost of services depends on the number of sessions you choose to attend.
• You will receive a written Good Faith Estimate before your first session, and you may request one at any time.
For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises.
Record Request to Find Rest Christian Counseling
To request your counseling records under Texas law, please submit a written, signed request that includes your full name, date of birth, contact information, and a clear description of the records you want. If you want the records sent to a third party, include the name and address of the recipient, the purpose of the release, and the dates of service requested. Under the Texas Medical Records Privacy Act (Texas Health & Safety Code §181) and the confidential mental health records requirements in Texas Health & Safety Code Chapter 611, clients have the right to access their records, and written authorization is required for disclosures to third parties. If your client portal was previously closed after the completion of services, please email our office at counselor@findrestcc.com to request temporary reactivation. Once the portal is reopened, the system will automatically send an email prompting you to sign in, which serves as an additional layer of identity verification. All record requests and forms, including upload of a government-issued ID, must be submitted through the secure client portal for your confidentiality. Please do not send sensitive documents by regular email. Processing times may vary, and Texas law permits providers to charge a reasonable, cost-based fee for copying and delivering records. If you have questions or need assistance, please contact our office.
In the event that Mark Kass retires, is disabled or dies and cannot respond to request, he has designated Cariend, a medical records custodian, to manage your file records. Cariend is not a medical provider and does not handle billing, medications, or referrals. Requestors should be prepared to complete the Records Release Authorization Form and provide a copy of government-issued photo ID, as required by HIPAA. The fastest way to process requests for copies of medical records is to visit Cariend’s website and follow the instructions posted here: https://www.cariend.com/request-records/. If you do not have access to a computer or internet, Cariend can be reached by phone at 404-991-7080 – please note the HIPAA laws do not allow medical records to be released based on a phone or email request. If you prefer to mail your completed Authorization Form and Government-issued Photo ID: Cariend ROIPO Box 1866, Thomasville, GA 31799-1866. If you have questions about the process, Cariend can also be contacted via email at Request@Cariend.com, however, you should not send sensitive personal information or request documents through email.
Notice of Consumer Complaint Process with the Texas Office of the Attorney General
If you have a consumer complaint regarding business practices, deceptive acts, or unfair practices, you may file a complaint with the Texas Office of the Attorney General – Consumer Protection Division. The Office of the Attorney General accepts and reviews consumer complaints to enforce consumer protection laws in Texas.
Texas Office of the Attorney General – Consumer Protection Division
Phone: 1-800-621-0508
To file a complaint or learn more about the complaint process, visit the Texas Attorney General’s Consumer Protection webpage:
Notice to Clients under Texas Health & Safety Code Chapter 181, §181.105(a)(2)
If you have a concern or complaint regarding a licensed professional counselor’s services, you may contact:
Texas Behavioral Health Executive Council (BHEC)
1801 Congress Ave., Suite 7.300
Austin, Texas 78701
Phone: (512) 305-7700
Website: bhec.texas.gov
Complaints and disciplinary actions may be viewed or submitted through the Council’s website at: https://bhec.texas.gov/contact-us/