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Professional Disclosure Statement Shelby D. Warren, MS, LCM HCA, LHASA, NCC Office: 2526402493My Qualifications I received my Master of Science degree in Clinical Counseling from East Carolina University
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Open a new document in Microsoft Word or any other word processing software.
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Type your name, professional title, contact information, and any relevant credentials at the top of the document.
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Include a brief introduction or statement about your professional background and experience.
04
List any affiliations or memberships with professional organizations.
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Detail any relevant education and training you have completed.
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Include information about your areas of expertise and the services you provide.
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Mention any ethical guidelines or codes of conduct that you adhere to.
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Include a statement about confidentiality and client privacy.
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Save and review the document for accuracy before sharing with clients.

Who needs professional disclosure statement word?

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Professionals such as therapists, counselors, psychologists, social workers, and other professionals in the mental health field.
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Professionals in the medical field such as doctors, nurses, and medical practitioners.
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Professionals in the legal field such as lawyers and legal advisors.
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Consultants, coaches, and other professionals who provide services to clients.
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Any individual or organization that wants to establish transparency and trust with their clients.
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A professional disclosure statement is a document that outlines the professional qualifications, experiences, and practices of an individual, typically required in various professional fields to ensure transparency and ethical standards.
Individuals in regulated professions, such as social workers, counselors, and certain healthcare providers, are generally required to file a professional disclosure statement.
To fill out a professional disclosure statement, individuals should provide their professional qualifications, areas of expertise, licensing information, and any relevant affiliations or practices. Templates are often available to guide the process.
The purpose of a professional disclosure statement is to inform clients or the public about the professional's qualifications, services offered, and any potential conflicts of interest, ensuring accountability and transparency.
Typically, a professional disclosure statement must report the individual's qualifications, credentials, areas of practice, fees, confidentiality practices, and any relevant legal or ethical considerations.
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