Colorado Mandated Disclosure Statement (Andrew Rose LPC)

(No summary is available.)

Mandatory disclosure of information to clients, pursuant to C.R.S 12-43-214.

Andrew Rose, at 3434 47th Street, Suite 130, Boulder CO 80301, (303) 532 6780 is a Licensed Professional Counselor.

As to the regulatory requirements applicable to mental health professionals: a Licensed Clinical Social Worker, a Licensed Marriage and Family Therapist, and a Licensed Professional Counselor must hold a masters degree in their profession and have two years of post-masters supervision. A Licensed Psychologist must hold a doctorate degree in psychology and have one year of post-doctoral supervision. A Licensed Social Worker must hold a masters degree in social work. A Psychologist Candidate, a Marriage and Family Therapist Candidate, and a Licensed Professional Counselor Candidate must hold the necessary licensing degree and be in the process of completing the required supervision for licensure. A Certified Addiction Counselor I (CAC I) must be a high school graduate, and complete required training hours and 1000 hours of supervised experience. A CAC II must complete additional required training hours and 2,000 hours of supervised experience. A CAC III must have a bachelors degree in behavioral health, and complete additional required training hours and 2,000 hours of supervised experience. A Licensed Addiction Counselor must have a clinical masters degree and meet the CAC III requirements. A Registered Psychotherapist is registered with the State Board of Registered Psychotherapists, is not licensed or certified, and no degree, training or experience is required.

Andrew Rose holds these degrees and credentials:

Bachelor of Arts (Mathematics) Cornell University, Ithaca, NY, 1991
Secondary School Teaching Credential, San Francisco State University, 2003
Master of Arts (Clinical Counseling Psychology), Naropa University, Boulder, CO, 2008
EMDR II
Synergetic Play Therapy Two Year Credential, Play Therapy Institute of Colorado
Psychobiological Approach to Couple Therapy (PACT), Two Year Credential, Tatkin Institute
Applied Existential Psychotherapy, Two Year Credential, Boulder Psychotherapy Institute

The practice of licensed or registered persons in the field of psychotherapy is regulated by the Mental Health Section of the Division of Registrations. The Board of Psychologist Examiners can be reached at 1560 Broadway, Suite 1350, Denver, Colorado 80202, (303) 894-7800.

A client is entitled to receive information about the methods of therapy, the techniques used, the duration of therapy, if known, and the fee structure.

The client may seek a second opinion from another therapist or may terminate therapy at any time. Additional termination conditions (specifically for child play therapy where separated parents maintain shared decision making) may be negotiated in a separate instrument.

In a professional relationship, sexual intimacy is never appropriate and should be reported to the board that licenses, registers, or certifies the licensee, registrant, or certificate holder.

The information provided by the client during therapy sessions is legally confidential in the case of licensed marriage and family therapists, social workers, professional counselors, and psychologists; licensed or certified addiction counselors; and registered psychotherapists, except as provided in CRS 12-43-218 and except for certain legal exceptions that will be identified by the licensee, registrant, or certificate holder should any such situation arise during therapy.

Client / Parent / Guardian Client

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