Get Counselor Disclosure Statement

The Counselor Disclosure Statement is an essential document required by Washington state law, providing vital information about your counselor's qualifications and the counseling process. This guide will walk you through the steps needed to complete the form online, ensuring you understand each component clearly.

Follow the steps to fill out the Counselor Disclosure Statement online.

1. Click the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by reviewing your counselor’s professional education and training section. Ensure it reflects the qualifications and specialties relevant to your needs.
3. Next, read the therapeutic orientation description. This section outlines the counselor’s approach to therapy and the issues they specialize in addressing.
4. Carefully examine the limits of confidentiality stated in the form. It is crucial to understand the circumstances under which your information may be disclosed.
5. Review the section on third-party insurance companies and medical billing services to understand how your information will be shared if applicable.
6. Understand the financial requirements for counseling sessions, including payment methods and cancellation policies.
7. Read through the no-show and discharge policy to ensure you are aware of the procedures if you cannot attend a scheduled appointment.
8. Know how to contact your counselor by reviewing the provided contact information and emergency resources.
9. Assess the section on electronic communication regarding privacy considerations and consent.
10. Finally, complete the informed consent section, signing and dating where appropriate. Ensure you understand all information provided.
11. Once completed, save your changes, and you may choose to download, print, or share the form as needed.

Start filling out your Counselor Disclosure Statement online today.