PROFESSIONAL DISCLOSURE STATEMENT
AMANDA MONTGOMERY, M.A.
Place of Business
Salem
Pastoral Counseling Center
1300 Broadway St. NE, Ste 409
Salem, OR 97301-1426
Telephone: (503) 370-8050
Approach to Counseling
I
believe that people are valuable and should be treated with
respect to their uniqueness. My work is a client-centered, brief
therapy (generally lasting three-six months). As a family
systems therapist, I work with couples, families, and
individuals. Two of my main areas of practice include marriage
or relationship counseling and treatment with teens, adults, and
older adults who have experienced trauma related to past sexual
assault or power abuse. Additional areas include depression,
anxiety, codependency, past addictions, relational conflicts,
and phase-of-life issues. I employ a relational, systemic
approach that incorporates psycho education, human relationship,
spirituality (see next paragraph for details), and
multiculturalism.
I understand that faith can be an integral part of a person’s
life. I am honored to incorporate faith-based practice into the
therapeutic experience. I am sensitive to my client’s beliefs
and I do not impose my beliefs on clients.
Education and
Training
I hold a
Master of Arts in Marriage and Family Therapy from Pacific
Lutheran University in Tacoma, Washington. Coursework included
multiple therapeutic approaches to client-centered couple, family,
and individual counseling. Additional experience has included
12-step training and facilitation, sexual assault therapist core
training, various multicultural discussion groups, and Functional
Family Therapy.
I am a member of Oregon Association for Marriage and Family
Therapists (OAMFT), American Association for Marriage and
Family Therapists (AAMFT), and Washington Coalition for
Sexual Assault Programs (WCSAP).
Code of Ethics
As a
Registered Marriage and Family Therapy Intern of the Oregon Board
of Licensed Professional Counselors and Therapists working
towards licensure, I abide by its Code of Ethics. I am under the
ongoing supervision of Bob Lewis MA, LMFT, which I will be happy to
explain.
Fee
Schedule
Fees for counseling services
are $105.00 per 50 minute session. An adjustment in fees is
possible in cases of need and when discussed in advance with the
counselor.
Client Bill
of Rights
As a
client working with me, you have the following rights:
1. To
obtain a copy of the Code of Ethics for Oregon Board of Licensed
Professional Counselors and Therapists.
2. To
privacy as defined by rule and law, including the exceptions to
confidentiality of information obtained in the course of services
that include the following: *reporting suspected child abuse,
*reporting imminent danger to clients or others, *court-ordered
release of information, *providing information concerning licensee
case consultation or supervision, and *defending claims brought by
client against licensee.
3. To
be informed of the cost of professional services before receiving
the services.
4. To
be free from discrimination on the basis of race, religion, gender,
or other unlawful category in receiving services.
5. To
participate fully in developing your counseling plan.
6. To
expect that a licensed therapist has met minimal qualifications
required by state law.
7. To
examine public records maintained by the Oregon Board of Licensed
Professional Counselors and Therapists and to have the Board confirm
credentials of a licensee.
8. To
report complaints to the Executive Board through either of the Co-Director(s)
of Salem Pastoral Counseling Center, and/or to report complaints to
the Oregon Board of Licensed Professional Counselors and Therapists.
You may contact the Oregon Board of Licensed
Professional Counselors and Therapists at 3218 Pringle Road SE #250
Salem, Oregon 97302-6312 (503) 378-5499
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CENTER STAFF
Bob
Lewis
M.A., L.M.F.T.
Co-Director
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Judy Tuttle-Zollner
M.A., M.Ed., L.P.C., N.C.C.
Co-Director
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Mike McFetridge
M.A.
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Jodi
Miller
M.Ed., L.P.C.
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Amanda Montgomery
M.A.
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George
Olson
M.A., L.P.C., N.C.C.
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Myrna A. Phillips
M.Ed., L.M.F.T.
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Janet Rickman
M.S., L.P.C.
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If you have made an initial appointment, the
Downloadable Client Intake Packet is available below. If
you have not made an initial appointment and are interested
in doing so, please call (503) 370-8050.
Downloadable Client Intake Packet (PDF)
Includes: Office Policies
My Professional Disclosure
HIPAA Privacy
Notice
History Questionnaire
Client Intake Form
Insurance Form
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