Get the free professional disclosure statement - Jen Johnson

Professional Disclosure Statement Mary Margaret Johnson, MSW, LCS WA Lewisville Family Counseling, LLC | 6614 Shallow ford Road, Suite 250 | Lewisville NC 27023 Phone: 3369450137 | Fax: 3369469084

How to fill out professional disclosure statement

How to fill out professional disclosure statement

1. Start by including your name and contact information at the top of the document.
2. Provide a brief overview of your qualifications, experience, and areas of expertise.
3. Disclose any potential conflicts of interest that could impact your work with clients.
4. Outline your current professional affiliations and memberships in relevant organizations.
5. Detail your fees, billing practices, and insurance information.
6. Clearly explain your policies on confidentiality, informed consent, and client rights.
7. Include any other relevant information that would help potential clients make an informed decision about working with you.
8. Review the document carefully for accuracy and clarity before distributing it to clients.

Who needs professional disclosure statement?

1. Psychologists
2. Therapists
3. Counselors
4. Social workers
5. Mental health professionals
6. Any individual or organization providing professional services

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What is professional disclosure statement?

The professional disclosure statement is a document that provides information about a professional's background, qualifications, and potential conflicts of interest.

Who is required to file professional disclosure statement?

Professionals such as lawyers, financial advisors, and healthcare providers are often required to file a professional disclosure statement.

How to fill out professional disclosure statement?

To fill out a professional disclosure statement, one must provide accurate and complete information about their professional background and any potential conflicts of interest.

What is the purpose of professional disclosure statement?

The purpose of the professional disclosure statement is to provide transparency and build trust with clients by disclosing relevant information about the professional's background and potential conflicts of interest.

What information must be reported on professional disclosure statement?

Information such as professional qualifications, licensing, any financial interests, and potential conflicts of interest must be reported on a professional disclosure statement.