OAR 833-075-0050
Professional Disclosure Statement
(1)
To be approved by the Board, the professional disclosure statement (PDS) shall include the following information required by this section and ORS 675.755 (Professional disclosure statement required):(a)
The name, address and telephone number of the business;(b)
Philosophy and approach to counseling or marriage and family therapy, including reference to any codes of standards or ethics to which the licensee subscribes;(c)
A statement indicating adherence to the Oregon Licensing Board’s Code of Ethics set forth in OAR chapter 833, division 100;(d)
A bill of rights of clients, including a statement that consumers of counseling or therapy services offered by Oregon licensees have the right:(A)
To expect that a licensee or person granted a temporary practice authorization has met the minimum qualifications of training and experience required by state law;(B)
To examine public records maintained by the Board and to have the Board confirm credentials of a licensee or person granted a temporary practice authorization;(C)
To obtain a copy of the Code of Ethics;(D)
To report complaints to the Board;(E)
To be informed of the cost of professional services before receiving the services;(F)
To be assured of privacy and confidentiality while receiving services as defined by rule or law. Licensees and temporary practitioners must include an explanation of each exception to confidentiality;(G)
To be free from being the object of discrimination on any basis listed in the Code of Ethics while receiving services.(e)
Formal education and training, title of highest relevant degree earned, school granting degree, and major coursework;(f)
Oregon licensure requirements for continuing education and supervision, as well as any significant post-degree work relating to professional practice;(g)
The standard fee for service, including discounted rates or sliding scale and a statement that no fees will be charged and no additional fee will be added to another set fee such as a hospital room daily charge;(h)
A statement indicating the following: “Additional information about this counselor or therapist is available on the Board’s website: www.oregon.gov/oblpct”; and(i)
The Board’s name, address, telephone number, and email address.(2)
Prior to providing services, licensees and persons granted a temporary practice authorization must provide each client with a professional disclosure statement consistent with the content and in a format as specified in section (1). When providing disclosure statements via electronic communication, licensees and temporary practitioners must ensure a means of documenting confirmation of receipt and acknowledgement of the PDS.(3)
Licensees and persons granted a temporary practice authorization must make a reasonable effort to assist the client to understand the information presented in the disclosure statement.(4)
The professional disclosure statement must be accessible to people with disabilities.(5)
Requests for exemptions to the professional disclosure statement and informed consent distribution requirements must be submitted in writing to the Board. The Board may grant written exemptions to:(a)
Applicants for licensure not practicing professional counseling or marriage and family therapy in Oregon, except those seeking registration as an intern;(b)
Licensees on inactive status or not practicing professional counseling or marriage and family therapy in Oregon;(c)
Licensees and temporary practitioners providing crisis response; and(d)
Licensees and temporary practitioners who have submitted a written request and can satisfy the Board that there is good cause to be exempt from specific requirements.(6)
If the licensee or person granted a temporary practice authorization fails to provide the statement, the licensee or temporary practitioner may not charge the client a fee for services.(7)
Whenever a licensee or person granted a temporary practice authorization changes a professional disclosure statement, the new statement must be presented to the Board for approval.
Source:
Rule 833-075-0050 — Professional Disclosure Statement, https://secure.sos.state.or.us/oard/view.action?ruleNumber=833-075-0050.