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Declaration of Practices and ProceduresValencia Jones-Edwards, M.S.C., PLPCSamaritan Counseling Center1525 Stephens StreetShreveport, La 71101318-221-6121Qualifications: Education: Master of Science in Counseling – LSUS, 2018Bachler of Science in Psychology – LSUS, 2015B. Licensure:Provisional Licensed Professional Counselor(PLPC) - #PLC____Louisiana LPC Board of Examiners8631 Summa AvenueBaton Rouge, La 70809(225) 765-2515LPC-Board Approved Supervisor, Tonya Williams LPCThe Kennedy Center of Louisiana2210 Line Ave, Ste 2017Shreveport, La 71104(318) 675-1112Counseling Relationship:I view the counseling relationship as one of mutual respect and trust. We will take this journey together to explore options and resources toward the best solution. We will both work to create goals and realize the best options.Areas of Focus:I focus on domestic violence victims, survivors, and perpetrators. In addition, I’m also interested in multicultural issues and behavior addictions. Fees and Office Procedures:My fee is $125 per session. A session consists of 50 minutes and does not include insurance. In certain situations, this fee may be adjusted based on family income or other financial situations. Payment of services is due before the session begins with the receptionist. As a PLPC, I may not accept payment for services directly. Appointments are typically set at the close of each session. I have morning, afternoon, and evening appointments available Monday through Friday. I will also conduct group sessions Monday through Friday evenings beginning 5:30 pm. Appointments may be scheduled, rescheduled, or cancelled with the receptionist from 8:00 am to 4:00 pm Monday through Friday. Failure to cancel an appointment not cancelled 24 hours in advance may result in a charge for the time reserved for you. Services Offered and Clients Served:My approach to counseling is from a person-centered, solution focused,and cognitive-behavioral perspective. Patterns of thoughts and actions are explored in order to better understand the clients’ problems and to develop solutions and goals. I work with individual, families, couples, and groups. I see clients from all multicultural and socioeconomic backgrounds excluding all children under the age of 17. Code of Conduct:As a PLPC, I am required by law to adhere to the code of conduct for practice as a PLPC that has been adopted by my licensing board, the Louisiana LPC Board of Examiners. A copy of the Code of Conduct is available to you upon your request. Should you wish to file a disciplinary complaint regarding my practice as a PLPC, you may contact the Louisiana LPC Board of Examiners. In addition, I must adhere to the American Counseling Association Code of Ethics. Confidentiality:Anything revealed in counseling will remain strictly confidential except for material shared with my Board-Approved Supervisor and under the following circumstances, in accordance with State Law:The client signs a written release of information indicating informed consent of such release.The client expresses intent to harm him/herself or someone else.There is reasonable suspicion of abuse/neglect against a minor child, elderly person (60 or older), or dependent adult.A court order in received directing the disclosure of information. In the event of marriage or family counseling, material obtained from an adult client individually may be share with the client’s spouse or other family members with the client’s written permission. Any material obtained from a minor client may be shared with the client’s written permission. Privileged Communication: It is my policy to assert privileged communication on behalf of the client and the right to consult with the client if at all possible, except during an emergency, before mandated disclosure. I will endeavor to apprise clients of all mandated disclosures as conceivable. Emergency Situations: When the receptionist is unavailable to answer calls after normal office hours, you may leave a voicemail and I will return your call as soon as I am available. In an emergency situation when an immediate response is necessary, you may seek help through hospital emergency facilities or by calling 911. Client Responsibilities:You as the client and I are considered partners throughout the entire counseling process. Both parties being honest and transparent will help us both navigate our time together. This is your time, so feel free to offer any suggestions or voice concerns about your sessions and we will make necessary adjustments. If either one of us feel that you may be better served by another mental health professional instead, I will help you with the referral process. If you are currently receiving other mental health services or begin while under my care, I expect you to inform me and grant me the permission to share information with this professional, so that we may partner and coordinate to best serve you. Physical Health:Physical health can be an important factor in the emotional well-being of an individual. If you have not had a physical examination in the last year, I recommend that you do so. Also, please provide me with a list of any medications that you are currently taking or may resume taking in the near future.Potential Counseling Risk:The client should be aware that counseling poses potential risks. In our work together, additional problems may surface of which you were not initially aware. If this occurs, please feel free to share these concerns with me. I have read the declaration of Practices and Procedures of Valencia Jones-Edwards, MSC, PLPC and my signature below indicates my full consent to services provided by her. I am aware that Valencia Jones-Edwards may share information with Tonya Williams LPCS or Jennifer Crow LPC for the sole purpose of supervision toward licensure and information shared in supervision may not be used for any other purposes. I am also aware that my sessions with Valencia Jones-Edwards, MSC, PLPC may be audio or video recorded for the purpose of supervision. Permission will be obtained before this practice takes place. Client SignatureDate______________________________________________________________________________Valencia Jones-EdwardsDate______________________________________________________________________________Tonya Williams, LPCSDate ................
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