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Earl Hendrikz at Clear Lake Integrative Medicine
Patient Resources

Patient Records, Licensing & Complaints

Clear Lake Integrative Medicine is committed to protecting your health information and making it easy to understand your rights as a patient. This notice explains how to request your records and how to contact the appropriate Texas licensing authority.

In accordance with Texas Health & Safety Code §181.105 (House Bill 4224), the following information explains how to request your health care records from Clear Lake Integrative Medicine, contact the appropriate Texas licensing or disciplinary authority, and file a consumer complaint regarding your health care, health records, or protected health information.

Your Health Information

1. How to Request Your Health Care Records

You have the right to request access to or copies of health records maintained by Clear Lake Integrative Medicine.

1

Submit Your Request

Please submit a written request for your records by email, mail, or in person. If you call us, our staff can assist you with the records-request process or provide any authorization form that may be required.

2

Tell Us What Records You Need

Please include your full legal name, date of birth, approximate dates of treatment, the specific records you are requesting, where or to whom they should be sent, and your preferred delivery method. Please do not send Social Security numbers, financial account numbers, or other unnecessary sensitive information by unsecured email.

3

Identity Verification

To protect your privacy, we may ask you to verify your identity or authority before releasing protected health information. If someone is requesting records on your behalf, appropriate written authorization or documentation of legal authority may be required.

4

Processing Your Request

When Texas Health & Safety Code §181.102 applies, an electronic health record requested in writing will generally be provided no later than the 15th business day after the request is received, subject to applicable exceptions. If a fee permitted by law applies, we will inform you.

Submit Your Request To

info@clearlakeintegrativemedicine.com
Clear Lake Integrative Medicine, 1335 Regents Park Dr #110, Houston, TX 77058
(832) 464-4645
Licensing & Disciplinary Authorities

2. Contact the Appropriate Licensing Authority

Because Clear Lake Integrative Medicine provides care through licensed professionals from more than one health care discipline, the appropriate state licensing board depends on the type of provider involved. You do not need our permission to file a complaint.

Chiropractic Care

Texas Board of Chiropractic Examiners (TBCE)

1801 Congress Avenue, Suite 10.500
Austin, TX 78701
Phone: (512) 305-6700
Health Professions Council: (800) 821-3205
Nursing & Nurse Practitioner Care

Texas Board of Nursing (BON)

Attn: Enforcement Division
1801 Congress Avenue, Suite 10-200
Austin, TX 78701
Complaint Assistance: (512) 305-6838
Health Professions Council: (800) 821-3205
Physician Care

Texas Medical Board (TMB)

Investigations Department
P.O. Box 2018
Austin, TX 78768-2018
Complaint Hotline: (800) 201-9353

When filing a complaint, provide as much information as possible, including the name of the provider involved, the dates of the incident, the treatment or services involved, and a detailed description of your concern. The Texas Medical Board does not regulate nurses acting within the scope of nursing practice.

Privacy & Consumer Complaints

3. Texas Medical Records Privacy & Consumer Complaints

Texas Health & Safety Code §181.103 requires the Texas Attorney General to maintain consumer information about privacy rights for protected health information. A consumer may also submit a complaint through the Texas Attorney General's Consumer Protection Division. For concerns that personal or health information has been unlawfully collected, shared, disclosed, or mishandled, select the Privacy complaint process. Do not include unnecessary confidential information such as Social Security or financial account numbers.

File a Consumer Complaint with the Texas Attorney General

Questions or Assistance

If you need help requesting your records or determining which type of health care professional provided your care, please contact us:

Clear Lake Integrative Medicine
1335 Regents Park Dr #110, Houston, TX 77058

This notice is provided pursuant to Texas Health & Safety Code §181.105 and supplements Clear Lake Integrative Medicine's Notice of Privacy Practices. Last updated: August 2026.

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