Bramblewood Counseling & Wellness

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Practice Information
Bramblewood Counseling & Wellness
633 East Fernhurst Dr., Suite 703
Katy, Texas 77450
Phone: 281-406-0143
Email: care@bramblewoodcw.com

Provider
Angela Sticker, MA, LPC

Effective Date
March 9, 2026

Our Commitment to Your Privacy

Bramblewood Counseling & Wellness is committed to protecting the privacy of your protected health information (PHI). PHI includes information that identifies you and relates to your past, present, or future mental or physical health condition and the care you receive.

We are required by law to:

• Maintain the privacy of your protected health information
• Provide you with this Notice of Privacy Practices
• Follow the terms of this notice
• Notify you if a breach occurs that may compromise the privacy or security of your information

Mental health records are also protected under Texas Health and Safety Code Chapter 611.

How Your Health Information May Be Used and Disclosed

Treatment
Your protected health information may be used to provide, coordinate, or manage your care.

Payment
Your information may be used to obtain payment for services, including billing insurance or collecting payment for services.

Health Care Operations
Your information may be used for administrative and operational purposes such as supervision, quality improvement, and licensing requirements.

Appointment Reminders
We may contact you to remind you of appointments.

As Required by Law
Your protected health information may be disclosed when required by federal or Texas law.

Uses and Disclosures Requiring Authorization

Certain uses and disclosures require your written authorization.

Psychotherapy Notes
Psychotherapy notes receive special protection under federal law and generally require written authorization for disclosure.

Marketing
Your protected health information will not be used for marketing purposes without your written authorization.

Sale of PHI
This practice will not sell your protected health information.

You may revoke an authorization in writing at any time.

Uses and Disclosures Not Requiring Authorization

Your information may be disclosed without authorization when permitted or required by law, including:

• Reporting suspected abuse or neglect
• Health oversight activities
• Judicial or administrative proceedings
• Law enforcement purposes
• Coroners or medical examiners
• Approved research activities
• Preventing serious threats to health or safety
• Workers’ compensation claims

Your Rights Regarding Your Health Information

You have the right to:

• Inspect and obtain a copy of your protected health information
• Request an amendment to your record
• Request restrictions on certain uses or disclosures
• Request confidential communications
• Request an accounting of certain disclosures
• Obtain a paper copy of this notice

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Bramblewood Counseling & Wellness
Angela Sticker, MA, LPC
633 East Fernhurst Dr., Suite 703
Katy, Texas 77450
Phone: 281-406-0143

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

You will not be retaliated against for filing a complaint.

Changes to This Notice

Bramblewood Counseling & Wellness reserves the right to change this notice at any time. The current version will be available upon request and on the practice website.

Bramblewood Counseling & Wellness

Provider
Angela Sticker, MA, LPC

License
Licensed Professional Counselor (LPC) – State of Texas

Practice Address
633 East Fernhurst Dr., Suite 703
Katy, Texas 77450

Phone
281-406-0143

Email
care@bramblewoodcw.com

Angela Sticker is licensed by the Texas Behavioral Health Executive Council.

Clients have the right to file a complaint with the Texas Behavioral Health Executive Council if they believe a violation of professional standards has occurred.

Texas Behavioral Health Executive Council
George H.W. Bush State Office Building
1801 Congress Ave., Suite 7.300
Austin, Texas 78701
Phone: 512-305-7700
Website: https://www.bhec.texas.gov

Information about filing a complaint is available on the Council’s website.

Your Right to a Good Faith Estimate

Under federal law, health care providers are required to provide patients who do not have insurance or who are not using insurance with an estimate of expected charges for medical services.

• You have the right to receive a Good Faith Estimate explaining the expected cost of your counseling services.

• 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 have the right to dispute the bill.

• You may contact Bramblewood Counseling & Wellness at:

Phone: 281-406-0143, Email: care@bramblewoodcw.com

For questions or more information about your right to a Good Faith Estimate, visit: https://www.cms.gov/nosurprises