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LPC Professional Disclosure Statement
Monica M. Spicer, MA, LPC, NCC
Spicer Counseling Services, LLC
Phone: (989) 5930211
Email: monicaspicerlpc×gmail.com
Qualifications
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How to fill out lpc professional disclosure statement

How to fill out lpc professional disclosure statement
01
To fill out an LPC professional disclosure statement, follow these steps:
02
Begin by providing your full name and contact information at the top of the form.
03
Include your LPC license number, if applicable.
04
Clearly state your professional qualifications and credentials.
05
Include a description of your theoretical orientation and counseling approach.
06
Detail your areas of specialization and expertise.
07
Provide information on your experience and any relevant work history.
08
Include your education and training background, including any degrees or certifications.
09
Mention any professional affiliations or memberships.
10
Specify your fees and billing policies.
11
Include information on your availability and scheduling options.
12
Include any additional disclosures or disclaimers that may be required by your licensing board or professional association.
13
Sign and date the disclosure statement to certify its accuracy and completeness.
Who needs lpc professional disclosure statement?
01
The LPC professional disclosure statement is typically required for licensed professional counselors (LPCs).
02
It may also be necessary for LPC interns or students completing their training in counseling programs.
03
Furthermore, private practice counselors, therapists, or mental health practitioners who provide counseling services to clients also need to provide a professional disclosure statement.
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What is lpc professional disclosure statement?
The LPC professional disclosure statement is a document that provides information about a Licensed Professional Counselor's background, experience, and services to clients.
Who is required to file lpc professional disclosure statement?
Licensed Professional Counselors are required to file the LPC professional disclosure statement.
How to fill out lpc professional disclosure statement?
The LPC professional disclosure statement can be filled out by providing accurate information about the counselor's credentials, services offered, fees, and policies.
What is the purpose of lpc professional disclosure statement?
The purpose of the LPC professional disclosure statement is to inform clients about the counselor's background, qualifications, and how they can expect to be treated during therapy sessions.
What information must be reported on lpc professional disclosure statement?
The LPC professional disclosure statement must include information about the counselor's education, training, areas of specialization, counseling techniques, fees, insurance accepted, and policies regarding confidentiality and client rights.
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