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       Professional Disclosure Statement

Education:

M. Ed., Marriage & Family Therapy Specialization / University of Oregon

B.S., Psychology / University of Oregon

License:

I am licensed as a Marriage & Family Therapist through the Oregon Licensing Board and adhere to the Oregon Licensing Board's Code of Ethics.  I am a clinical member of the American Association for Marriage & Family Therapists (AAMFT) and adhere to their code of ethical conduct.

Client Rights:

As a client of a licensee with the Oregon Board of Licensed Professional Counselors and Therapists you have the following rights:

• To expect that a licensee has met the minimum qualifications of training and experience required by state law.

• To examine public records maintained by the Board and to have the Board confirm credentials of a licensee.

• To obtain a copy of the Code of Ethics.

• To report complaints to the Board.

• To be informed of the cost of professional services before receiving the services.

• To be assured of privacy and confidentiality while receiving services as defined by rule and law, with the following defined exceptions: 1) Reporting suspected child abuse or neglect; 2) Reporting imminent danger to client or others; 3) Reporting information required in court proceedings or by client's insurance company, or other relevant agencies; 4) Providing information concerning licensee case consultation or supervision; and 5) Defending claims brought by client against licensee.

• To be free from being the object of discrimination on the basis of race, religion, gender or other unlawful category while receiving services.

You have the right to quality of service. Should you require or desire therapy beyond the scope of my qualifications, experience, or skill level, you can reasonably expect to be referred to someone better suited to meet your needs.

You may contact the Board of Licensed Professional Counselors and Therapists at 3218 Pringle Rd. SE #250, Salem, Oregon 97302-6312. Telephone: 503 378-5499