
Get the free LPC Professional Disclosure Statement - WGREGG - 151105
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Whitney Gregg, M.S., LPC Outpatient Therapist Peace of Mind, Inc. 817 West Front Street Billington, NC 27546 Office: (910) 8142197 Ext. 13 Fax: (910) 8142167 Emergency Line: (910) 8131517 Email: Whitney
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How to fill out lpc professional disclosure statement

How to fill out LPC Professional Disclosure Statement:
01
Begin by gathering all necessary information: Before filling out the LPC Professional Disclosure Statement, gather relevant information such as your personal and contact details, educational and professional background, licensing information, and any areas of expertise or specialization.
02
Provide accurate personal information: Start by providing your full name, contact information, and current address. Make sure to use professional and up-to-date contact details as this will be the primary means of communication between you and potential clients.
03
Include educational and professional background: Indicate your educational qualifications, including relevant degrees, certifications, and any specialized training you have completed in the field of counseling. Include the name of the educational institutions or organizations where you obtained these qualifications.
04
State your licensure information: If you hold any licenses or certifications related to counseling, include specific details such as the licensing board, license number, and expiration date. This helps establish your credibility and ensures clients that you are qualified to practice.
05
Describe areas of expertise or specialization: Briefly mention your areas of expertise or specialization within the field of counseling. This could include specific populations you work with or approaches you utilize. These details can help potential clients determine if you are the right fit for their needs.
06
Explain the types of services you offer: In this section, outline the different counseling services you provide. This could include individual therapy, group therapy, family counseling, or any other specialized services you offer. Be clear and concise in your descriptions to provide potential clients with a clear understanding of what you can provide.
07
Outline your fees and payment policies: Clearly state your fees for counseling sessions and any other applicable charges or policies, such as cancellation fees or insurance acceptance. Transparency about fees helps potential clients make informed decisions about seeking your services.
08
Provide details about your practice: Include information about the location of your practice, including the address and any necessary directions or parking information. If you offer telehealth services, mention this and provide instructions on how clients can access these services.
Who needs LPC Professional Disclosure Statement?
01
Licensed Professional Counselors (LPCs): LPCs, who are practicing or planning to practice counseling, need to create and maintain a Professional Disclosure Statement. It serves as a comprehensive document that outlines their qualifications, areas of expertise, services provided, and important policies to ensure transparency with potential clients.
02
Counseling agencies or organizations: Counseling agencies or organizations that employ LPCs may also require LPC Professional Disclosure Statements from their counselors. These statements can be used for marketing purposes, to inform clients about the qualifications and services of their staff.
03
Clients seeking counseling services: Individuals seeking counseling services can benefit from reviewing the LPC Professional Disclosure Statement of a potential counselor. It helps them understand the counselor's background, expertise, and approach, allowing them to make an informed decision about their choice of counselor.
Overall, the LPC Professional Disclosure Statement is an essential document for LPCs and counseling organizations to provide transparency, establish professional credibility, and assist clients in making informed decisions about their counseling services.
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What is lpc professional disclosure statement?
It is a document that provides information about a licensed professional counselor's background, qualifications, and potential conflicts of interest.
Who is required to file lpc professional disclosure statement?
Licensed professional counselors are required to file this statement.
How to fill out lpc professional disclosure statement?
The statement can typically be filled out online or on a physical form provided by the licensing board.
What is the purpose of lpc professional disclosure statement?
The purpose is to inform clients about the counselor's qualifications, background, and any potential conflicts of interest that may arise during the counseling process.
What information must be reported on lpc professional disclosure statement?
Information such as educational background, work experience, areas of expertise, fees, and any potential conflicts of interest must be reported.
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