
Get the free LPCA Professional Disclosure Statement ... - NCChristianCounselor
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John A. Henry, MA, SPCA Licensed Professional Counselor Associate 717 Green Valley Rd, Suite 200 Greensboro, NC 27408 Phone: (919) 9497701 Email: ncchristiancounselor gmail.com Website: www.NCChristianCounselor.comAuthorization
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How to fill out lpca professional disclosure statement

How to fill out lpca professional disclosure statement
01
Step 1: Start by downloading the LPCA Professional Disclosure Statement form from the official LPCA website.
02
Step 2: Read all the instructions and guidelines provided on the form carefully.
03
Step 3: Begin by filling out your personal information such as your name, address, contact details, and LPCA license number.
04
Step 4: Fill in your professional qualifications and educational background.
05
Step 5: Provide information about any specializations or areas of expertise you have.
06
Step 6: Include details about your experience in counseling and therapy.
07
Step 7: Mention any professional affiliations you are a part of.
08
Step 8: Specify if you have any professional liability insurance.
09
Step 9: Fill in details about your fee structure and payment policies.
10
Step 10: Include information about your cancellation and rescheduling policies.
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Step 11: Complete the disclosure statement by signing and dating it.
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Step 12: Make a copy of the completed form for your records and submit the original to the appropriate authority.
Who needs lpca professional disclosure statement?
01
LPCA Professional Disclosure Statement is required by Licensed Professional Counselor Associates (LPCAs) who are practicing or providing counseling services. It is an important document that discloses the professional qualifications, experience, fee structure, and policies of an LPCA to their clients or prospective clients. This statement helps clients make informed decisions about whether to engage in counseling services with the LPCA.
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What is lpca professional disclosure statement?
The LPCA Professional Disclosure Statement is a document that licensed professional counselors in Louisiana must create to inform clients about the nature of their services, qualifications, and approach to counseling.
Who is required to file lpca professional disclosure statement?
All licensed professional counselors (LPCs) in Louisiana are required to file the LPCA Professional Disclosure Statement as part of their professional practice.
How to fill out lpca professional disclosure statement?
The LPCA Professional Disclosure Statement should be filled out by including personal and professional information such as your qualifications, types of services offered, billing practices, and client rights. Specific guidelines provided by the LPCA should be followed.
What is the purpose of lpca professional disclosure statement?
The purpose of the LPCA Professional Disclosure Statement is to promote transparency between clients and counselors, ensuring that clients are fully informed about the counseling process and the qualifications of their counselor.
What information must be reported on lpca professional disclosure statement?
Information that must be reported includes counselor's qualifications, treatment modalities, fee structure, confidentiality policies, and any relevant legal or ethical considerations.
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