PROFESSIONAL DISCLOSURE STATEMENT
JANET A. RICKMAN, M.S., L.P.C.
Place of Business
Salem
Pastoral Counseling Center
1300 Broadway St. NE, Ste 409
Salem, OR 97301-1426
Telephone: (503) 370-8050
Philosophy and Approach
I am a trained professional
counselor. My approach to counseling is based in the belief that
people are dynamic, and ever evolving toward self-actualization by
identifying and getting their needs met, as well as defining
meaning in their lives. Exploring, obtaining, and healing
relationships with others and self, are all primary to my approach
to counseling, as I believe relationships are central to the meaning
people find in their lives.
Code of
Ethics
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 a Master’s degree in
Counseling from Oregon State University with a clinical
emphasis. Major coursework included: clinical internship training
in counseling as well as coursework in providing individual, family,
and group counseling.
Continuing
Education
To maintain my license, I am
required by the state to participate in annual continuing education,
taking classes in the subjects relevant to this profession. I may
substitute professional supervision 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
$105.00 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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CENTER STAFF
Bob
Lewis
M.A., L.M.F.T.
Co-Director
|
Judy Tuttle-Zollner
M.A., M.Ed., L.P.C., N.C.C.
Co-Director
|
Jill
Conrad
M.A., L.M.F.T.
|
Laurie Holland-Klein
M.S.W., L.C.S.W.
|
Karen
Keller
M.A.
|
Jodi
Miller
M.Ed., L.P.C.
|
George
Olson
M.A., L.P.C., N.C.C.
|
Myrna A. Phillips
M.Ed., L.M.F.T.
|
Philip A. Prewette
L.M.F.T.
|
Janet Rickman
M.S., L.P.C.
|
Allison Taylor
M.S.W., L.C.S.W.
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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 |
