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Paul Hoard, PhD, CPC, ACS, CC MHC, CS AYC
Metz Building Suite 231
2030 E. College Way, Olathe, KS 66062
(574) 387 6279
hoard.paul@gmail.comCounseling Information Disclosure Statement
Therapy is a
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To fill out the counseling information disclosure statement.docx, follow these steps:
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Open the counseling information disclosure statement.docx file on your computer.
03
Start by filling out your personal information, such as your name, address, phone number, and email.
04
Next, provide the details of the counseling services you received or are currently receiving. This may include the name of the counselor, the type of counseling, dates of sessions, and any relevant information about the counseling process.
05
If applicable, disclose any medications you are currently taking that may impact your counseling or mental health.
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Include any additional information or notes that you believe are important for the disclosure statement.
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Review the filled-out form to ensure all the necessary information is provided and accurate.
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Who needs counseling information disclosure statementdocx?
01
Individuals who have received counseling services or are currently receiving counseling might need to fill out the counseling information disclosure statement.docx.
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This document is commonly required by counseling centers, mental health professionals, or organizations involved in the provision of counseling services.
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It is used to gather important information about the counseling services received by individuals, ensuring transparency, and facilitating effective communication between the counselor and the client.
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What is counseling information disclosure statementdocx?
The Counseling Information Disclosure Statement is a document used to provide transparent information regarding counseling services, outlining the terms, conditions, and rights associated with such services.
Who is required to file counseling information disclosure statementdocx?
Entities or individuals providing counseling services, especially in regulated industries, are required to file the Counseling Information Disclosure Statement.
How to fill out counseling information disclosure statementdocx?
To fill out the Counseling Information Disclosure Statement, include client identification details, a summary of services offered, fee structures, confidentiality policies, and other relevant terms as required by the governing regulations.
What is the purpose of counseling information disclosure statementdocx?
The purpose of the Counseling Information Disclosure Statement is to ensure that clients are fully informed about the counseling services they will receive, including their rights, responsibilities, and any financial obligations.
What information must be reported on counseling information disclosure statementdocx?
The Counseling Information Disclosure Statement must report client identification details, services provided, session fees, confidentiality policies, and any additional terms or aspects relevant to the counseling relationship.
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