(1) Certified peer support specialists and trainees are required to provide a disclosure statement to each participant prior to starting services.

(2) The disclosure statement must contain the following information:

(a) The name of the certified peer support specialist or trainee and the name of their agency or business, if applicable;

(b) The peer support specialist or trainee's credential number;

(c) The peer support specialist or trainee's business address, email, and telephone number;

(d) The type of peer services to be provided, including an explanation of the differences between peer services and clinical services and how they work together;

(e) The goals and expected duration of the peer services; and

(f) Fee information, including billing practices.

(3) Peer support specialist trainees must also include information for their approved supervisor, including the supervisor's name, credential number, and contact information.

(4) The disclosure statement must state that the participant has been provided a copy of the disclosure statement and that the participant has read and understands the information provided. The participant and peer support specialist must both sign and date the form.

(5) If a participant is in acute crisis or is otherwise unable to read, understand, and sign the disclosure statement, it can be completed at a later session.