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COUNSELOR DISCLOSURE FORM (Per WAC 246810030) Name of Agency: Skagit Pediatrics 2101 Little Mountain Ln. Mount Vernon, WA 98274 (360) 4282622 COUNSELOR\'S EDUCATION, TRAINING AND EXPERIENCE: Behavior
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01
Obtain the counselor disclosure form from the appropriate source.
02
Read the instructions carefully to understand what information needs to be provided.
03
Fill out your personal information such as name, contact details, and other identifying information.
04
Provide details about your counseling experience or qualifications if required.
05
Review the form for accuracy and completeness before submitting it.
Who needs counselor disclosure form per?
01
Individuals who are seeking counseling services and need to disclose information about their counselor.
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What is counselor disclosure form per?
Counselor disclosure form per is a form that counselors must fill out to disclose any potential conflicts of interest or biases.
Who is required to file counselor disclosure form per?
All counselors are required to file counselor disclosure form per.
How to fill out counselor disclosure form per?
Counselors can fill out counselor disclosure form per by providing accurate and complete information about any potential conflicts of interest or biases.
What is the purpose of counselor disclosure form per?
The purpose of counselor disclosure form per is to ensure transparency and integrity in counseling relationships.
What information must be reported on counselor disclosure form per?
Counselors must report any potential conflicts of interest, biases, or financial interests that may impact their ability to provide unbiased counseling services.
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