Get the free Behavioral Health Disclosure Statement - HealthCircle - UCCS

DISCLOSURE STATEMENT1. INFORMATION Michael Smith, PhD2919 17th Avenue, Suite 214Longmont, CO 80503(303) 74673642. CREDENTIALSLicensure: Licensed psychologist in CO and Degrees: BA in Clinical Psychology, MS in Experimental Psychology and Counseling (double

How to fill out behavioral health disclosure statement

How to fill out behavioral health disclosure statement

1. Review the behavioral health disclosure statement form thoroughly to understand all the questions and information required.
2. Provide accurate and honest answers to all the questions on the form.
3. If you are unsure about how to answer a question, seek clarification from a healthcare provider or professional.
4. Be prepared to disclose any relevant information about your mental health history, treatment, and current status.
5. Sign and date the form once you have completed filling it out.

Who needs behavioral health disclosure statement?

1. Individuals seeking mental health services or treatment.
2. Patients admitted to psychiatric hospitals or facilities.
3. People participating in mental health research studies.
4. Employees in certain industries where mental health disclosures are required for safety or regulatory reasons.

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What is behavioral health disclosure statement?

The behavioral health disclosure statement is a document that provides information about an individual's or organization's behavioral health services, including the type of services offered, treatment approaches, and any relevant licensing or accreditation details.

Who is required to file behavioral health disclosure statement?

Providers of behavioral health services, such as therapists, counselors, and treatment facilities, are typically required to file a behavioral health disclosure statement to ensure transparency and compliance with regulatory standards.

How to fill out behavioral health disclosure statement?

To fill out a behavioral health disclosure statement, providers should collect necessary information regarding their services, complete the standardized form, ensure accuracy, and submit it to the appropriate regulatory authority or agency.

What is the purpose of behavioral health disclosure statement?

The purpose of the behavioral health disclosure statement is to promote transparency in the behavioral health services offered, helping consumers make informed choices and ensuring compliance with legal and ethical standards.

What information must be reported on behavioral health disclosure statement?

The information that must be reported includes the type of behavioral health services provided, qualifications of staff, treatment philosophy, costs, and any fees associated with services, along with licensing and accreditation details.