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PROFESSIONAL DISCLOSURE STATEMENT Business Name: Business Address: City, ST, Zip: Email:George Better, M.A., N.C.C., B.C.P.C.C., Licensed Professional Counselor 3433 N.E. Stanton St. Portland, OR
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How to fill out professional disclosure statement

01
To fill out a professional disclosure statement, follow these steps:
02
Start by including your name, contact information, and any professional credentials you have.
03
Provide a brief introduction about yourself and your professional background.
04
Clearly state your areas of expertise and the services you offer.
05
Include information about your education, training, and any relevant certifications.
06
Outline your work experience, including any relevant positions you have held.
07
Provide details about any professional affiliations or memberships you belong to.
08
Include information about any legal or ethical obligations you adhere to, such as confidentiality or codes of conduct.
09
Mention any fees or charges associated with your services.
10
Clearly state your contact information and how potential clients can reach you.
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Finally, proofread and review the statement before finalizing and distributing it.

Who needs professional disclosure statement?

01
A professional disclosure statement is typically needed by professionals in various fields, including but not limited to:
02
- Psychologists
03
- Psychotherapists
04
- Counselors
05
- Financial advisors
06
- Attorneys
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- Medical professionals
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- Consultants
09
- Coaches
10
- Social workers
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- Researchers
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Professionals who work directly with clients, provide services or advice, and have ethical and legal responsibilities often require a professional disclosure statement.
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Professional disclosure statement is a document that provides information about a professional's background, qualifications, and potential conflicts of interest.
Certain professionals, such as financial advisors, attorneys, and healthcare providers, are required to file professional disclosure statements.
Professionals must provide accurate and complete information about their qualifications, employment history, and any potential conflicts of interest.
The purpose of a professional disclosure statement is to provide transparency and help clients make informed decisions about working with a particular professional.
Information such as educational background, employment history, any disciplinary actions taken against the professional, and any potential conflicts of interest must be reported on a professional disclosure statement.
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