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This document outlines the professional disclosure statement of Sarah Ellenwood, LPC LMFT, providing information on her therapeutic approach, educational background, fees, payment options, and client rights. It is intended to inform clients about their rights and the ethical considerations involved in counseling services.

How to fill out professional disclosure statement

How to fill out professional disclosure statement

1. Begin by including your name and contact information at the top of the document.
2. State your professional qualifications, such as degrees and certifications.
3. Describe your areas of expertise and specializations.
4. Explain the nature of your services and the methods you employ.
5. Outline your therapeutic philosophy and approach to treatment.
6. Detail any relevant experience or case studies, if applicable.
7. Provide information about confidentiality and its limits.
8. Include your fee structure and payment policies.
9. Discuss any potential conflicts of interest.
10. Sign and date the document, and include a statement indicating the client's acknowledgment of this disclosure.

Who needs professional disclosure statement?

1. Mental health professionals such as therapists and counselors.
2. Social workers providing therapeutic services.
3. Medical professionals offering mental health services, including psychiatrists.
4. Coaches or consultants in fields involving personal development.
5. Service providers working with minors or vulnerable populations.

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What is professional disclosure statement?

A professional disclosure statement is a written document that provides transparency about a professional's qualifications, practices, and potential conflicts of interest, ensuring clients are informed before engaging in services.

Who is required to file professional disclosure statement?

Typically, licensed professionals such as psychologists, counselors, and healthcare providers are required to file a professional disclosure statement, depending on the regulations of their specific profession and jurisdiction.

How to fill out professional disclosure statement?

To fill out a professional disclosure statement, one must provide personal qualifications, areas of expertise, service fees, ethical guidelines, potential conflicts of interest, and contact information, ensuring the information is accurate and complete.

What is the purpose of professional disclosure statement?

The purpose of a professional disclosure statement is to promote transparency, build trust between professionals and clients, and ensure that clients are informed about what to expect from the professional relationship.

What information must be reported on professional disclosure statement?

The information that must be reported includes the professional's name, credentials, license information, areas of practice, fees, and policies regarding confidentiality, cancellations, and client rights.