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This document serves to clarify policies regarding counseling services offered by John Penn Turner, M.S., LPC, LSATP, providing an introduction to the counseling process, his qualifications, experience,
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How to fill out professional disclosure statement

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How to fill out Professional Disclosure Statement

01
Start by reading the instructions provided for the Professional Disclosure Statement.
02
Gather all necessary information, including your educational background, qualifications, and professional experience.
03
Clearly state your professional credentials and licensure relevant to your field.
04
Include your areas of expertise and the services you provide.
05
Describe the nature of the client relationships you establish, including confidentiality policies.
06
Provide information about fees, payment policies, and any insurance issues.
07
Review the document for clarity and accuracy before finalizing.
08
Sign and date the form, if required.

Who needs Professional Disclosure Statement?

01
Mental health professionals, including therapists and counselors.
02
Social workers who provide direct client services.
03
Coaches or consultants working in therapeutic or developmental fields.
04
Healthcare professionals requiring transparency in client relationships.
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People Also Ask about

A disclosure statement is a document that a landlord must give the tenant when entering into or renewing a lease. It outlines essential lease information so the tenant can understand, at a glance, the key elements of the lease. It can include: the term or duration of the lease.
The professional disclosure statement (PDS) is a document that an LPC, LMFT, registered associate, or temporary practitioner provides to each client that provides information about the practitioner and their practice. You must update your PDS if there are changes and ensure it contains current, accurate information.
The Standard Contents of a Professional Disclosure Statement Your name, contact information and professional registration status. Professional associations that you belong to. Your qualifications, including education, training and experience. Your practice philosophy.
Supervision Hours “Supervision” is shorthand for directed, post-graduate experience in professional counseling under supervision open_in_new in a work setting. Oregon requires aspiring LPCs to complete 2,400 hours of supervision, with at least 50 percent dedicated to direct client contact.
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
Professional disclosure statements disclose to clients the nature and boundaries of the counseling relationship they are about to enter. The written statement indicating that the client has been fully informed about the counseling relationship is signed by both the client and the counselor. "
The Standard Contents of a Professional Disclosure Statement Your name, contact information and professional registration status. Professional associations that you belong to. Your qualifications, including education, training and experience. Your practice philosophy.
A disclosure statement in such a case might read: “The author declares that (s)he has no relevant or material financial interests that relate to the research described in this paper”.

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A Professional Disclosure Statement is a document that provides clients with important information about a professional's qualifications, services, and the nature of the relationship they will have with the client.
Typically, mental health practitioners, counselors, social workers, and other licensed professionals are required to file a Professional Disclosure Statement.
To fill out a Professional Disclosure Statement, professionals should include their name, credentials, a description of their services, fees, confidentiality policies, and any relevant ethical guidelines they adhere to.
The purpose of a Professional Disclosure Statement is to ensure transparency and to inform clients about their rights, the professional's qualifications, and the procedures that will be followed during the professional relationship.
A Professional Disclosure Statement must report the professional's qualifications, services offered, fee structure, confidentiality policies, and any potential conflicts of interest.
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