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Macree Workman is a counselor providing information about their qualifications and counseling process. They hold a master's degree in counseling and view counseling as helping clients focus on strengths to initiate change. Issues addressed include depression, anxiety, gender therapy, LGBTQIA+ counseling and transgender issues. Sessions will last 50 minutes at a fee of $100 per session. Confidentiality will be maintained except where legal obligations require disclosure, such as with abuse.

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56 views

Pdstemplate

Macree Workman is a counselor providing information about their qualifications and counseling process. They hold a master's degree in counseling and view counseling as helping clients focus on strengths to initiate change. Issues addressed include depression, anxiety, gender therapy, LGBTQIA+ counseling and transgender issues. Sessions will last 50 minutes at a fee of $100 per session. Confidentiality will be maintained except where legal obligations require disclosure, such as with abuse.

Uploaded by

api-531337210
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Macree Workman

Office:

I am pleased that you have chosen me as your counselor. The purpose of this document is to
provide you with information about my background, our professional relationship, and the
counseling process.

Qualifications

I hold an MEd in Clinical Mental Health Counseling. I received this in _____ from the
University of Lynchburg in Lynchburg, Virginia.

Counseling Background

I view counseling as a process in which I help clients focus on strengths to help them initiate and
maintain change in their lives. Issues often addressed in counseling include, but are not limited
to:

● Depression
● Anxiety
● Gender Therapy
● LGBTQIA+ Counseling
● Transgender Issues
● Art Therapy

If we enter into a professional counseling relationship, we will work together to identify


counseling goals. We will reexamine and evaluate those goals periodically. When necessary, we
will adjust counseling goals to ensure that you are getting the most out of the counseling
sessions.
Session Fees and Length of Service

I will render services in a professional manner consistent with the accepted clinical standards of
care. Sessions will last 50 minutes. My fee is $100 per session, payable by check or cash at the
end of each session. If you have insurance coverage, you are responsible for submitting the
request for reimbursement to your insurance company. In cases of special need, I will work with
you to develop a payment plan, which may include a sliding scale fee. The determination to use a
sliding scale will be considered on a case-by-case basis.

Use of Diagnosis

Some health insurance companies will reimburse clients for counseling services and some will
not. In addition, most require a diagnosis of a mental health condition and indicate that you must
have an “illness” before they will agree to reimburse you. Some conditions for which people
seek counseling do not qualify for reimbursement. If a qualifying diagnosis is appropriate in your
case, I will inform you of the diagnosis before we submit the diagnosis to the health insurance
company. Any diagnosis made will become part of your permanent insurance records.

Confidentiality

All of our communication becomes part of the clinical record, which is accessible to you upon
request. I will keep confidential anything you say as part of our counseling relationship, with the
following exceptions: (a) you direct me in writing to disclose information to someone else, (b) it
is determined you are a danger to yourself or others (including child or elder abuse), or (c) I am
ordered by a court to disclose information, in which case I will work with you, your attorney,
and/or the magistrate to reach an agreement about what must be disclosed. Other than these
circumstances, our relationship and the information you share will not be disclosed without your
full knowledge and written consent.

Complaints

Although clients are encouraged to discuss any concerns with me, you may file a complaint
against me with the organization below should you feel I am in violation of any of these codes of
ethics. I abide by the ACA Code of
Ethics(www.counseling.org/Resources/aca-code-of-ethics.pdf).

Fax:

E-mail:
Acceptance of Terms

We agree to these terms and will abide by these guidelines.

Client: ​ ​ Date:______________

Counselor: ​ ​ Date:______________

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