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This document provides guidelines for licensed professional counselors and therapists in Oregon to create their Professional Disclosure Statement, including necessary elements such as philosophy,
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How to fill out professional disclosure statement

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How to fill out Professional Disclosure Statement

01
Begin by collecting your personal information including your name, address, and contact details.
02
Clearly state your professional credentials, including licenses and certifications.
03
Provide a brief overview of your professional experience and expertise.
04
Include information about your services, including the types of clients you serve and the methods you use.
05
Outline your fee structure and any financial policies.
06
Detail your ethical guidelines and confidentiality policies.
07
Specify the limits of confidentiality and any potential exceptions.
08
Include your contact information and availability for client inquiries.

Who needs Professional Disclosure Statement?

01
Clients seeking services in mental health, counseling, or therapy.
02
Professionals in the fields of social work, psychology, and counseling.
03
Organizations providing mental health or therapeutic services.
04
Anyone undergoing training or certification in therapeutic practices.
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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 outlines a professional's qualifications, experience, and the services they provide, ensuring transparency and informing clients about the professional relationship.
Typically, licensed professionals in fields such as counseling, therapy, and social work are required to file a Professional Disclosure Statement to comply with ethical and legal standards.
To fill out a Professional Disclosure Statement, professionals should gather accurate information about their credentials, service offerings, fees, confidentiality policies, and any potential conflicts of interest, ensuring clear communication for clients.
The purpose of a Professional Disclosure Statement is to promote transparency and client understanding, ensuring that clients are informed about the professional's qualifications, methods, and the nature of services provided.
Required information usually includes the professional's name, credentials, education, areas of expertise, a description of services offered, fees, confidentiality limits, and contact information.
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