Whatever you say or do during a counseling session cannot be shared with anyone else without your written permission. The following are typical, but not exhaustive, examples of situations and circumstances under which information may be disclosed without prior consent:

I can provide you with a Statement of Services that you can submit to your insurance company for reimbursement. Please note that it is your responsibility to determine what your insurance offers in mental health coverage for out-of-network providers.

In the case of your death or disability I may disclose information to your personal representative; If I reasonably believe that disclosure of confidential information will avoid or minimize an imminent danger to your health or safety or the health or safety of any other person;

Philosophy and Approach to Counseling: Through my work with individuals, families, and couples, I have learned that therapy can be a transformative experience. It takes courage to seek help and make changes, yet finding out where to begin can be overwhelming.

thoughts, concerns, and feelings. As a person-centered counselor, I strive to provide a positive therapeutic setting for all my clients, based on the pillars of person-centered counseling: unconditional positive. regard, empathy, and genuineness. Please …

This document is designed to provide information concerning your counselor’s competency, philosophy, and chosen techniques and to ensure that you understand the professional relationship of the counselor and the client.

I realize that starting counseling is a major decision and you may have many questions. This document is intended to inform you of my policies, state and federal laws, and your rights.

2020年5月13日 · The following disclosure statement is provided to give you information about my background and the nature of our professional relationship. This document is meant to explain your counselor’s training, offer information about the counseling relationship, provide information about client rights and responsibilities, and outline the limits of ...

I am informed about the policy regarding confidentiality of information I may disclose during counseling and the limits of that confidentiality. I understand that no promises have been made to me as to the results of treatment provided by this therapist.

PROFESSIONAL DISCLOSURE STATEMENT Welcome! As part of our therapeutic working relationship, the shared rights and responsibilities are outlined below. Please read the following information carefully and ask any questions you may have. Clinicians are required by law and professional board of ethics to provide this information.