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DISCLOSURE STATEMENT AND CONSENT TO TREATMENT Perspectives Therapy Services LLC THERAPIST TRAINING AND CREDENTIALS: Thank you for choosing Perspectives Therapy Services LLC for your emotional, mental,
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01
Begin by including your name, contact information, and professional title.
02
Provide a brief description of your professional background and qualifications.
03
Disclose any potential conflicts of interest that may arise in your practice.
04
Outline the services you offer and any fees associated with those services.
05
Include a section on client confidentiality and how you handle client information.
06
Sign and date the document to confirm its accuracy and completeness.

Who needs professional disclosure statement and?

01
Psychologists
02
Therapists
03
Mental health counselors
04
Social workers
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Substance abuse counselors
06
Life coaches
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Professional disclosure statement is a document that provides information about an individual's professional background, including qualifications, affiliations, and potential conflicts of interest.
Certain professionals, such as doctors, lawyers, and financial advisors, are required to file professional disclosure statements as part of their licensing or regulatory requirements.
Professional disclosure statements can typically be filled out online or on paper forms provided by the relevant licensing or regulatory body. They require individuals to provide detailed information about their professional history and potential conflicts of interest.
The purpose of professional disclosure statements is to provide transparency to clients, patients, or customers about the professional background of an individual and any potential conflicts of interest that may arise in the course of their work.
Information that must be reported on a professional disclosure statement typically includes education and training, professional experience, current affiliations, and any financial interests that could potentially create conflicts of interest.
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