Disclosure Statement for Licensed Mental Health Professional - Washington
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How to fill out Disclosure Statement For Licensed Mental Health Professional - Washington?
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FAQ
ORS 675.755 - Professional disclosure statement required.
I will keep confidential anything that you say to me, with the following exceptions: a) you direct me to tell someone else, b) I determine that you are a danger to yourself or others, c) I am ordered by a court to disclose information, d) I suspect or am made aware of physical/sexual abuse of minors, persons with
The purpose of a professional disclosure statement is to inform clients about your professional background and the limitations of your professional relationship. It is sometimes referred to as a document of informed consent.
The professional disclosure statement (PDS) is a document that an LPC, LMFT, or registered associate gives to each client that provides information about the licensee/registered associate and their practice. Who must have a PDS? Every applicant for licensure must submit a PDS as part of his or her application.
A disclosure statement is a financial document given to a participant in a transaction explaining key information in plain language. Disclosure statements for retirement plans must clearly spell out who contributes to the plan, contribution limits, penalties, and tax status.
What is the The Professional Disclosure Statement? The name, title, business address, and business telephone number of the professional clinical counselor, professional counselor,
The informed consent agreement Any issues related to purposes, goals, techniques, procedures, limitations, potential risks, and benefits. The counselor's qualifications, credentials, relevant experience, and approach to the counseling they're providing.
WAC 246-809-710 Required disclosure information. (m) The licensee must provide department of health contact information to the client so the client may obtain a list of or copy of the acts of unprofessional conduct listed under RCW 18.130. 180.