PROFESSIONAL DISCLOSURE STATEMENT
Jennifer Forster, Registered LPC intern
Forster Counseling LLC, 2500 Willamette Falls Drive, Suite 101, West Linn, OR 97068 email@example.com · (503) 217-9242
Philosophy and Approach
I provide professional mental health counseling services to children, adolescents and adults. I approach counseling as a joint relationship in which you, as the client, and I collaborate together in a supportive, safe environment. My belief is that all clients have unique insight and ability to improve their own lives but may need help identifying strengths and developing skills that support healing, healthy decision making, relationships and steps towards positive growth. I personally operate from a Christian worldview and am willing to incorporate spirituality into counseling if indicated by you.
Please note that although most counseling has been proven to be beneficial, there may be times when counseling activates challenging or uncomfortable emotions. This can happen as we approach sensitive areas or difficult memories. These feelings can affect your life outside of our counseling sessions and sometimes feelings may worsen before getting better. It is my goal to help you work through this process in order to help you move towards your goals.
Education, Training & Experience
I hold a Master of Education degree (M.Ed.) in Counseling Psychology from Lehigh University and a Bachelor of Science degree (B.S.) in Human Resource Management from Wright State University. I am a certified Mending the Soul Certified Facilitator for women’s abuse and trauma recovery small groups. I am a member of the American Psychological Association.
Some of the coursework I have completed includes Assessment and Appraisal, Human Development, Career Development, Addictions, Attachment Theory, Eating Disorders, Adult Assessment and Trauma and Loss. In addition, I completed two internships in college student mental health counseling centers where I counseled adolescents and young adults. I also worked for two years conducting pediatric and adult neuropsychological testing in the psychology department at a rehabilitation hospital.
As an Intern registered with the Oregon Board of Licensed Professional Counselors and Therapists, I abide by its Code of Ethics. As an intern, I am supervised by Jamie Watson, a licensed marriage and family therapist.
My fee is $85.00 per hour. Payment is made prior to each session. Currently, I do not accept insurance. A reduced fee is provided if it is financially necessary for consistent treatment and is based on availability.
My counseling philosophy centers on the importance of maintaining a good therapeutic relationship. If for any reason, you do not feel that we are a good fit, I will be happy to offer referrals to other professionals. If for any reason, I find that I do not have the experience, training, or knowledge to work with your particular concerns, I will also refer you to another professional who is better prepared to meet your needs.
As a client of an Oregon registered intern, you have the following rights:
- To expect that a licensee has met the qualifications of training and experience required by state law;
- To examine public records maintained by the Board and to have the Board confirm credentials of a licensee;
- To obtain a copy of the Code of Ethics (Oregon Administrative Rules 833-100);
- To report complaints to the Board;
- To be informed of the cost of professional services before receiving the services;
- To be assured of privacy and confidentiality while receiving services as defined by rule or law, with the following exceptions: 1) Reporting suspected child abuse; 2) Reporting imminent danger to you or others; 3) Reporting information required in court proceedings or by your insurance company, or other relevant agencies; 4) Providing information concerning licensee case consultation or supervision; and 5) Defending claims brought by you against me;
- To be free from discrimination because of age, color, culture, disability, ethnicity, national origin, gender, race, religion, sexual orientation, marital status, or socioeconomic status.
You may contact the Board of Licensed Professional Counselors and Therapists at:
3218 Pringle Rd SE, #120, Salem, OR 97302-6312 Telephone: (503) 378-5499
Email: firstname.lastname@example.org Website: www.oregon.gov/OBLPCT
For additional information about this intern, consult the Board’s website.