PROFESSIONAL DISCLOSURE STATEMENT
MYRNA A. PHILLIPS, M.Ed., L.M.F.T.
Place of Business
Salem
Pastoral Counseling Center
565 Union St. NE Suite 100
Salem, OR 97301-2460
Telephone: (503) 370-8050
Approach to
Counseling
I am a trained marriage, family and
individual therapist. My approach to counseling is based on the
belief that persons can become more clearly self-defined by
understanding their needs and issues, and as a result can make
responsible choices about functioning in a more healthy and
satisfying way both personally and in relationships with others.
As a pastoral counselor, I am both
trained as a marriage and family therapist as well as ordained with
ministerial standing with the Christian Church (Disciples of
Christ), and the United Church of Christ. I am a
clinical member of the American Association of Marriage and
Family Therapists and subscribe to the Code of Ethics of that
organization.
As a licensee of the Oregon State
Board of Licensed Professional Counselors and Therapists, I will
abide by its Code of Ethics.
Education
I hold the degree of Masters of
Education in counseling from Lewis and Clark College in
Portland, Oregon. I have also studied at Brite Divinity School,
Fort Worth, Texas, and Christian University, Fort Worth,
Texas in the areas of theology and pastoral counseling.
Continuing
Education
To maintain my license, I am
required by the state to participate in annual continuing
education. I participate in classes dealing with subjects relevant
to this profession, and I participate in professional consultation
for part of this requirement. I will be happy to explain what that
entails and how it relates to you as my client.
Fee Schedule
Fees for counseling services are
$95.00 per hour of counseling. 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 of an Oregon licensee,
you have the following rights:
1. To expect that a licensee has
met the minimal qualifications of training and experience required
by state law;
2. To examine public records maintained by the Board and to have
the Board confirm credentials of a licensee;
3. To obtain a copy of the Code of Ethics;
4. To report complaints to the Board;
5. To be informed of the cost of professional services before
receiving the services;
6.
To be assured of privacy and confidentiality while receiving
services as defined by rule and law, including the following
exceptions:
a) reporting suspected child
abuse
b) reporting imminent danger to client or others
c) reporting information required in court proceedings or by
client’s insurance company, or other relevant agencies
d) providing information concerning licensee case consultation
or supervision
e) defending claims brought by client against licensee.;
7.
To be free from being the object of discrimination on the
basis of race, religion, gender, or other unlawful category while
receiving services.
Name, Address and
Telephone Number of the Oregon Board office:
Oregon Board
of Licensed Professional Counselors and Therapists
3218 Pringle Road SE Ste 250
Salem, OR 97302-6312
Telephone: (503) 378-5499
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