Consumer Access to Health Care Records & Complaint Information

1. HOW TO REQUEST YOUR HEALTH CARE RECORDS

You have the right to request copies of the health care records maintained by Always Best Care Senior Services of Ft. Worth, TX.

To request your records, please follow the instructions below.

Submit a Written Request
Your written request must include the following information:

• Full name
• Date of birth
• Service address
• Dates of service requested
• Description of the records requested
• Phone number or email address for follow-up
• Signature and date

Submit Your Request by Mail, Email, or Fax

Mail:
Always Best Care Senior Services of Ft. Worth, TX
Attn: Privacy Officer
13101 Preston Rd, Suite 515, Dallas, TX 75240

Email: [email protected]
Fax: 972-767-4209

If you have questions about requesting records, please contact our Privacy Officer.

Phone: (972)-739-8886
Email: [email protected]

2. CONTACT THE LICENSING OR DISCIPLINARY AUTHORITY

Always Best Care Senior Services of Ft. Worth, TX is regulated by:

Texas Health and Human Services Commission (HHSC)
Regulatory Services Division
Complaint Intake Unit
Phone: 1 800 458 9858
Website: https://www.hhs.texas.gov/services/your-rights/complaint-and-incident-intake
Mail: HHSC Complaint Intake, MC E 249, P.O. Box 149030, Austin, TX 78714 9030

You may contact HHSC to ask questions about licensing, report concerns, or verify agency licensure.

3. HOW TO FILE A CONSUMER COMPLAINT

If you believe your health information privacy rights have been violated, you may file a complaint with Always Best Care Senior Services or directly with the Texas Attorney General or HHSC.

A. File a Complaint with Always Best Care
Submit a written complaint including:

• Your name and contact information
• Description of the issue
• Date(s) of incident
• Individuals involved (if known)
• Desired resolution

Send complaints to:
Privacy Officer
Always Best Care Senior Services of Ft. Worth, TX
13101 Preston Rd, Suite 515, Dallas, TX 75240
Email: [email protected]
Phone: (972)-739-8886

We will investigate complaints promptly and respond within a reasonable timeframe.

B. File a Complaint with Texas Attorney General
Texas Attorney General Consumer Protection Division
Phone: 1‑800‑621‑0508
Website: https://www.texasattorneygeneral.gov/consumer-protection
Mail: Office of the Attorney General, P.O. Box 12548, Austin, TX 78711‑2548

C. File a Complaint with U.S. Department of Health and Human Services (HIPAA)
Office for Civil Rights (OCR)
Phone: 1‑800‑368‑1019
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

NON‑RETALIATION POLICY

Always Best Care Senior Services will not retaliate against any individual who files a complaint, requests records, or exercises privacy rights under Texas or federal law.

CONTACT INFORMATION

Privacy Officer: Shayla D. Ross, MHA
Phone: (972)-739-8886
Email: [email protected]
Office Address:13101 Preston Rd, Suite 515, Dallas, TX 75240