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PDFWAC 246-809-710

Required disclosure information.

(1) The following information shall be provided to each client or patient at the commencement of any program of treatment:
(a) Name of firm, agency, business, or licensee's practice;
(b) Licensee's business address and telephone number;
(c) Washington state license number;
(d) The licensee's name;
(e) The methods or treatment modality and therapeutic orientation the licensee uses;
(f) The licensee's education, and training;
(g) The course of treatment, when known;
(h) Billing information, including:
(i) Client's cost per each treatment session; and
(ii) Billing practices, including any advance payments and refunds;
(i) Clients are to be informed that they as individuals have the right to refuse treatment and the right to choose a practitioner and treatment modality which best suits their needs;
(j) This subsection does not grant (clients) new rights and is not intended to supersede state or federal laws and regulations, or professional standards;
(k) The licensee must provide department of health contact information to the client so the client may obtain a list of or copy of the acts of unprofessional conduct listed under RCW 18.130.180. Department of health contact information must include the name, address, and telephone number for the health professions complaint process.
(2) Associates must provide each client or patient, during the first professional contact, with a disclosure form disclosing that he or she is an associate under the supervision of an approved supervisor. Associates may not independently provide clinical social work, mental health counseling, or marriage and family therapy for a fee, monetary or otherwise.
(3) Signatures are required of both the licensee providing the disclosure and the client following a statement that the client has been provided a copy of the required disclosure information and that the client has read and understands the information provided. The date of signature by each party is to be included at the time of signing.
[Statutory Authority: RCW 18.225.040. WSR 17-13-082, § 246-809-710, filed 6/16/17, effective 7/17/17. Statutory Authority: Chapter 18.225 RCW. WSR 09-15-039, § 246-809-710, filed 7/8/09, effective 7/8/09. Statutory Authority: RCW 18.225.040. WSR 04-06-011, § 246-809-710, filed 2/20/04, effective 3/22/04.]
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