1. Consumer Rights (Texas HB 4224)
In accordance with Texas House Bill 4224, we provide the following information to ensure you
understand your rights as a client.
Records Requests
You have the right to request a copy of your clinical records at any time. To initiate a request:
- Submit a written request via email to twyla@doubleoakcounseling.com or via
postal mail to our office address.
- Please specify the dates of service or specific documents you are requesting.
- We will respond within 15 days as required by state law.
Texas Behavioral Health Executive Council (BHEC)
The Texas Behavioral Health Executive Council investigates and prosecutes professional misconduct
committed by marriage and family therapists, professional counselors, psychologists,
psychological associates, social workers, and licensed chemical dependency counselors.
Visit the BHEC
Website for information on licensing or to file a complaint.
Texas Behavioral Health Executive Council
333 Guadalupe St., Suite 3-900
Austin, Texas 78701
Phone: (512) 305-7700
Email: bhec@texas.gov
www.bhec.texas.gov
Office of the Attorney General (OAG)
For consumer protection issues, you may contact the Texas Office of the Attorney General.
Visit the OAG Consumer
Protection Page
2. Notice of Privacy Practices (HIPAA)
Effective Date: January 1, 2026
This section describes how medical information about you may be used and disclosed and how you
can get access to this information. Please review it carefully.
We are required by law to maintain the privacy of your protected health information (PHI) and to
provide you with notice of our legal duties and privacy practices with respect to PHI. We are
committed to protecting your privacy and complying with all relevant federal and state laws,
including recent 2026 updates regarding reproductive health care and substance use disorder
records.
We reserve the right to change the terms of this Notice and to make the revised Notice effective
for all protected health information we maintain.
3. Good Faith Estimate (No Surprises Act)
You have the right to receive a “Good Faith Estimate” explaining how much your medical
care will cost.
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 bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any
non-emergency items or services.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1
business day before your medical service or item. You can also ask your health care
provider, and any other provider you choose, for a Good Faith Estimate before you schedule
an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can
dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
4. LPC Disclosure
Twyla Axelson, LPC
License Number: #90620
Twyla Axelson is permitted to practice as a Licensed Professional Counselor in the State of
Texas.