Before coming for your first session, please print and bring these completed documents with you.

If we are meeting virtually, you can skip the AAT form but please email the other 4 to: alethea@thomas-counseling.com. Thank you!

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How to Request Your Health Care Records Clients and former clients may request copies of their health care records from Alethea Thomas Counseling using one of the following methods: Email: alethea@thomas-counseling.com Mail: 108 Topeka Dr., Suite 105, Waco, TX 76712 To avoid delays, please include: o Full name and date of birth o Phone number and/or email address o Description of records requested (entire record or specific dates) o Preferred delivery method (mail, or pick-up) o Your signature and date If requesting records on behalf of another person, documentation showing legal authority (such as guardianship or medical power of attorney) is required. Identity verification may be required to protect patient privacy. Contact the Texas Behavioral Health Executive Council Licensing Authority for Licensed Professional Counselors Alethea Thomas Counseling is regulated by the Texas Behavioral Health Executive Council (BHEC). You may contact the Council using the following webpage: https://bhec.texas.gov/contact-us/ Select Licensed Professional Counselor (LPC) when submitting an inquiry. File a Consumer Complaint with the Texas Attorney General Consumers may file a complaint with the Texas Office of the Attorney General – Consumer Protection Division at: https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint Please include relevant dates, names, and supporting documentation if available. Questions About House Bill 4224 For questions related to HB 4224, Texas Health and Human Services provides the following contact email: HCR_PRU@hhs.texas.gov