Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 514 - BOARD OF COUNSELING PROFESSIONALS LICENSURE › Chapter 8-B - CLIENT BILL OF RIGHTS; DISCLOSURE STATEMENTS › Section 514-8-B-2 - Disclosure Statements

Current through 2024-29, July 17, 2024
1. Licensed
				Clinical Professional Counselors, Licensed Marriage and Family Therapists and
				Licensed Pastoral Counselors
A licensed clinical professional counselor, licensed marriage
				  and family therapist and licensed pastoral counselor, including a conditional
				  licensee, shall personally give a copy of the disclosure statement to each
				  client in hand at the commencement of the counseling relationship. The
				  disclosure statement consists of the following items:
A. The name, license number, business
				address, business telephone number and business hours of the
				counselor;
B. The counselor's
				license category, date of initial licensure, and current license expiration
				date;
C. For each postsecondary
				degree held by the counselor, the name of the degree, the date the degree was
				awarded, the area of study in which the degree was earned, and the name of the
				institution that conferred the degree;
D. A statement indicating the limits and
				scope of confidentiality. The statement must note the following exceptions to
				confidentiality:
(1) Threat of serious harm
				to self or others;
(2) Reasonable
				suspicion of abuse or neglect of a child, or abuse, neglect or exploitation of
				an incapacitated or dependent adult;
(3) Court order;
(4) Voluntary release signed by the client or
				guardian; and
(5) During
				supervisory consultations.
E. If the counselor is conditionally
				licensed, a statement to that effect and the following explanation:
"A conditional licensee has met the initial requirements for
				  this license and is working under professional supervision to obtain the
				  experience necessary for full licensure. The counselor may discuss your case
				  with the supervisor. The counselor may ask you for permission to allow the
				  supervisor to sit in on a session. You are free to refuse if this would make
				  you uncomfortable."
F. The
				areas of competence in which the counselor is licensed;
G. A general statement outlining a proposed
				course of treatment, including process of intake, assessment, goal-setting and
				treatment plan;
H. The counselor's
				fee schedule, method of billing and payment terms;
I. The extent to which the counselor performs
				pro bono work or offers sliding scale modifications of the fee schedule;
				and
J. Whether the counselor's
				services can be paid for by insurance coverage, MaineCare and other third-party
				payment plans and if so, to what extent.
K. The following statement:
"The practice of counseling is regulated by the Board of
				  Counseling Professionals Licensure. The board is authorized by law to
				  discipline counselors who violate the board's law or rules. To learn about the
				  complaint process, or to file a complaint against a counselor,
				  contact
:
Complaint Coordinator
Office of Licensing and Registration
35 State House Station
Augusta, ME 04333
Tel: (207) 624-8660
Web:
www.maine.gov/professionallicensing