Consumer Information: Access to Health Records and Complaints: In compliance with Texas Health & Safety Code Section 181.105, we provide the
following information regarding your rights as a consumer.
 Accessing Your Health Records: To request a copy of your health care records, please submit a written request to gina@ginanamietherapay.com. I will
respond to your request within the timeframe required by law.
 Contacting the Licensing Authority: Our practice is licensed and regulated by the Texas State Board of Examiners of Licensed Clinical Social Workers under the
Texas Behavioral Health Executive Council (BHEC). You can contact them at:
o Address: 1801 Congress Ave, Ste 7.300, Austin, Texas, 78701
o Phone: (512) 305-7700
o Website: https://bhec.texas.gov/contact-us/
o Investigations/Complaints: (800) 821-3205
o I further understand and acknowledge that the therapist’s license may be verified via an online search located at Online license/Renewal System-
Texas Behavioral Health Executive Council. The therapist’s license can be located via search for Gina Namie, Licensed Clinical Social Worker, Supervisor #107350

 Filing a Complaint: To file a consumer complaint regarding our services, you may
use the formal complaint process outlined on the BHEC website. The complaint
information can be found on their main page or directly through their complaints
portal: bhec.texas.gov. You may also file a complaint the office of the attorney
general. The complaint information can be found on their consumer protection
page: https://www.texasattorneygeneral.gov/consumer-protection.