Your health record belongs to you. Current and former clients may request copies of their counseling and mental health records maintained by Converge Couple Therapy PLLC.
How to request:
You can reach out to our team directly by email, send a secure message through your client portal, or set up an appointment to request your records in person.
Client Portal:
https://mindy-howard.clientsecure.me/
Email
Mindy@ConvergeCoupleTherapy.com
Kim@ConvergeCoupleTherapy.com
Mail
Converge Couple Therapy PLLC
2650 FM 407E, Suite 255N
Bartonville, TX 76226
In person
By appointment
To help prevent delays, please include the following information with your request:
- Client's full legal name and date of birth
• Current phone number and or email address
• Description of records requested, including specific dates if applicable
• Client signature and date
Identity verification may be required to protect client privacy and confidentiality in accordance with applicable state and federal laws. If records are requested on behalf of another individual, documentation verifying legal authority is required. Examples include guardianship documentation or medical power of attorney.
Delivery: To protect your privacy and maintain HIPAA compliance, we will deliver your records electronically through your secure client portal.
For Couple and Family Therapy clients:
Because we value the privacy of every individual in the family system, requests for records involving more than one person (such as couple or family therapy) require the written consent of all parties involved.
Administrative Costs: To cover the time and resources required to compile and securely transmit your files, a standard administrative fee of $25 to $50 is typically requested for full record sets. We provide these records within 15 business days of your written request.
Protecting Your Rights