Notices and Disclosures
This page contains required notices, disclosures, and consumer information related to clinical services, privacy practices, records access, and client rights. Please review this information carefully. Additional details may be provided during the informed consent process.
Consumer Rights, Records Access & Licensure Information
Requesting Your Health Care Records
Clients and former clients have the right to request access to their health care records in accordance with Texas law and the Health Insurance Portability and Accountability Act (HIPAA).
To request copies of your records, please submit a written request that includes your full name, date of birth, dates of service requested, and your preferred method of delivery.
Requests may be submitted by:
• Email: info@theplacepsych.com
• Mail: The Place Psychological Services, PLLC
5473 Blair Rd Ste 100 PMB 767367
Dallas, TX 75231-4227 US
• Secure client portal
​
Requests are typically processed within 15 business days unless an extension is permitted by law.
Reasonable fees may apply as allowed by state and federal regulations.
Licensure & Regulatory Authority
I am licensed and regulated by the following Social Work Boards:
Texas Behavioral Health Executive Council (BHEC).​
Website: https://bhec.texas.gov
Phone: (512) 305-7700
Mailing Address:
1801 Congress Ave.,
Suite 7.300
Austin, Texas 78701
​
Virginia Board of Social Work
Website: https://www.dhp.virginia.gov/socialwork
Phone: (804) 367-4441
Filing a Consumer Complaint
If you have a concern related to access to health care records or a consumer protection issue, you may file a complaint with the Texas Office of the Attorney General, Consumer Protection Division.
​
Texas Attorney General – Consumer Protection
Website: https://www.texasattorneygeneral.gov/consumer-protection
Phone: 1-800-621-0508
You may also contact the Texas Behavioral Health Executive Council regarding professional conduct concerns.
Professional Disclosures
Professional Licensure
Jennifer Miller is a Licensed Clinical Social Worker – Supervisor (LCSW-S) (TX #68737) licensed by the Texas Behavioral Health Executive Council and a Licensed Clinical Social Worker (LCSW) (VA #0904016524) licensed by the Virginia Board of Social Work.
Emergency Notice
This practice does not provide emergency or crisis services.
If you are experiencing a mental health emergency, call 911, go to the nearest emergency room, or contact the Suicide & Crisis Lifeline by calling or texting 988.
Therapy & Clinical Services
The Place Psychological Services, PLLC provides licensed mental health services to adults in accordance with state law.
Services include psychotherapy, psychological assessment, and trauma-focused treatment approaches provided within the scope of professional licensure.
​
Clinical services are available only to individuals physically located in states where the provider is licensed at the time of service.
​
Educational offerings through The Place Academy and Corporate Workshops are separate from clinical services and are not regulated by state licensing boards.
Good Faith Estimate (No Surprises Act)
Under the No Surprises Act, clients who do not have insurance or who choose not to use insurance have the right to receive a Good Faith Estimate of expected charges for mental health services.
The Good Faith Estimate shows the cost of services that are reasonably expected for your care. You may request a Good Faith Estimate before scheduling services or at any time during treatment.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill.
For more information about your rights under the No Surprises Act, visit:
https://www.cms.gov/nosurprises
Privacy Policy
Website Privacy Policy
This Website Privacy Policy applies to visitors to this website and to individuals who submit information through website forms or scheduling tools. It does not replace or supersede the Notice of Privacy Practices provided to clients receiving clinical services.
Information Collected
This website may collect limited personal information, including but not limited to names, email addresses, phone numbers, and information voluntarily submitted through contact forms or scheduling requests. The website may also automatically collect technical information such as IP address, browser type, and device information.
How Information Is Used
Information submitted through this website is used solely for administrative and communication purposes, including responding to inquiries, scheduling services, or providing requested information. Submitting information through this website does not establish a therapeutic relationship.
Information Sharing
Information collected through this website is not sold. Limited information may be shared with third-party service providers used to operate the website, scheduling systems, or communication tools, solely for business and operational purposes. These providers are required to maintain appropriate safeguards.
Security
Reasonable administrative and technical safeguards are used to protect information submitted through this website. However, no method of electronic transmission or storage is completely secure, and absolute security cannot be guaranteed.
External Links
This website may contain links to external websites. This practice is not responsible for the privacy practices or content of external sites.
Contact
If you have questions about this Website Privacy Policy, you may contact:
info@theplacepsych.com
​
Notice of Privacy Practices (HIPAA)
This practice complies with the Health Insurance Portability and Accountability Act (HIPAA). A copy of the Notice of Privacy Practices, which describes how protected health information may be used and disclosed and how clients may access their information, is available upon request.
To request a copy, please contact:
info@theplacepsych.com