Center for Clinical & Forensic Psychology
Policies &
Client Rights
Client Rights & Complaint Procedures
You have a right to have your complaints heard and resolved in a timely manner. If we cannot work things out to your satisfaction, you may file a complaint with our licensing board:
Texas Behavioral Health Executive Council
1801 Congress Avenue, Suite 7.300 · Austin, TX 78701
Telephone: 1-800-821-3205
Download Complaint Form →
HIPAA Privacy Complaints
If you have a complaint concerning the HIPAA Privacy Regulations, you may contact the U.S. Department of Health and Human Services, Office for Civil Rights at: OCRMail@hhs.gov
Consumer Complaints — Health Information Privacy
If you believe you have a Consumer Complaint regarding the privacy and security of your health information, you may contact the Texas Office of the Attorney General: File a Consumer Complaint →
Requesting Records
Texas law requires that requests for mental health records be in writing. To obtain your records or your child’s records from our practice, please do the following:
- Complete our HIPAA-compliant Authorization and send it through your patient portal on our electronic health records system, Simple Practice. In the subject line, write “REQUEST FOR RECORDS.” Please include the records you want and the name, address, and/or email address of the intended recipient.
- If you do not have access to the patient portal, please email your records request and the Authorization to admin@ccfpco.com. In the subject line, please write “REQUEST FOR RECORDS.”
- If the records are to be used in litigation, please include case information such as the cause number, title, and court where the case is pending.
- If you need a Business Records Affidavit, please let us know in your request. There is a $15 charge for providing a Business Records Affidavit. No Affidavit will be provided unless the fee is paid.
- There is a $45.00 fee for providing records in this practice. We accept credit or debit card payments only. Please note that Texas law does not require us to provide records until the fee is paid.
- If you are requesting records for a person other than yourself or your child, state and federal law require that you provide either a Court Order or an Authorization signed by the person (or parent) whose records you are requesting. 45 C.F.R. §164.512(e); Texas Health & Safety Code §611.004, §611.0045, §611.008.
Instructions for Attorneys & Document Companies
A subpoena alone is not sufficient to compel the disclosure of confidential counseling and billing records or “Protected Health Information” (PHI) under the Health Insurance Privacy and Portability Act Privacy Rule (HIPAA), 45 C.F.R. Chapter 164.
For mental health records requested or subpoenaed in litigation, HIPAA allows a covered entity such as Jennifer L. Rockett, PhD, PLLC to disclose PHI in the course of any judicial or administrative proceeding as follows:
- In response to an order of a court or administrative tribunal; or
- Where the individual (or parent) is a party to the proceeding, knows that the request for their PHI has been made, and does not object. 45 C.F.R. §164.512(e). An Authorization from the individual or parent satisfies this second option.
Note: If the client or parent has indicated that they do not want their records released, a “Statement of Assurance” will not be accepted. An Authorization or Court Order will be required.