House Bill 4224 (89th Regular Session) Section 181.105 of the Health and Safety Code
Last updated January 7, 2026
Requesting Medical Records
In accordance with Texas House Bill 4224 (89th Regular Session) and Section 181.105 of the Texas Health and Safety Code, clients may request copies of their medical records under the following guidelines:
How to Request Records
All requests for medical records must be submitted in writing. Verbal requests cannot be accepted. Written requests should include:
• Client’s full name
• Date of birth
• Specific records being requested
• Preferred method of delivery (electronic or paper, if applicable)
• Client signature and date
Written requests may be submitted via secure email, client portal, mail, or in person.
Processing Time
Once a complete written request is received, records will be provided within 30 days, as permitted by Texas law.
Fees
A fee may be associated with the preparation and release of medical records, in accordance with state guidelines. Any applicable fees will be communicated prior to release.
Record Retention
Medical records are retained in compliance with Texas law:
• Adults: Records are maintained for 7 years from the date of last service
• Minors: Records are maintained for 5 years after the client turns 18
After the required retention period, records may be securely destroyed.
If you have questions about requesting records, please contact our office for assistance.
Complaints
If a client believes their rights under Texas Health & Safety Code §181.105 have been violated, they may file a consumer complaint with the Texas Office of the Attorney General. Information on filing a complaint is available through the Office of the Attorney General of Texas. Please visit their website for more information.
Filing a Complaint Against a Licensee
In accordance with Texas House Bill 4224 (89th Regular Session) and the rules of the Texas Behavioral Health Executive Council (BHEC), clients have the right to file a complaint regarding the professional conduct of a licensed mental health provider. Complaints against a licensee must be submitted directly to the Texas Behavioral Health Executive Council (BHEC). Complaints must be made in writing and should include sufficient information to identify the licensee and describe the nature of the concern.
Contact Information for BHEC
Texas Behavioral Health Executive Council
333 Guadalupe Street, Suite 3-900
Austin, Texas 78701
Phone: (512) 305-7700
Information and complaint forms are available on the Texas Behavioral Health Executive Council website.