mandatory disclosure

MANDATORY DISCLOSURE STATEMENT

Professional ethics and Colorado State Law require that I disclose the following information to you:

Name: Angela Paul

Business: Trailside Therapy & Wellness, LLC

Grand Junction, CO 81504

(970) 462-7333

The Colorado Department of State Regulatory Agencies regulate the practice of both licensed and unlicensed persons in the practice of psychotherapy, please read below in compliance with § 12-245-216(1)(b)(I), C.R.S.

• A Licensed Clinical Social Worker must hold a master’s or doctorate degree from a graduate school of social work, have at least two years post-master’s or post-doctoral practice under supervision, and pass a national examination in social work.
• A Licensed Social Worker must hold a master’s degree or doctorate degree from a graduate school of social work and pass a national examination in social work.
• A Clinical Social Worker Candidate, Psychologist Candidate, a Marriage and Family Therapist Candidate, a Licensed Professional Counselor Candidate, and an Addictions Counselor Candidate must hold the necessary licensing degree and be in the process of completing the required supervision and post-degree practice for licensure.
• A Licensed Marriage and Family Therapist must hold a master’s or doctoral degree in marriage and family counseling, have at least two years post-master’s or one-year postdoctoral practice under supervision, and pass a national exam in marriage and family therapy.
• A Licensed Professional Counselor must hold a master’s or doctoral degree in professional counseling, have at least two years post-master’s or one-year postdoctoral practice under supervision, and pass a national exam in in professional counseling.
• A Licensed Psychologist must hold a doctorate degree in psychology, have one year of postdoctoral supervision and practice, and pass a national examination in psychology.
• A Certified Addiction Technician (ACA) must be a high school graduate or equivalent, complete 1,000 hours of supervised work experience in no less than 6 months and pass the NAADAC Level I exam.
• A Certified Addiction Specialist (ACC) must have a clinical behavioral health bachelor’s degree, complete 2,000 hours of supervised work experience in no less than 12 months (may include experience gained/used for ACA credential) and pass the NAADAC Level II exam.
• A Licensed Addiction Counselor must have a clinical master’s or doctoral degree, meet the requirements for ACC, and have 3,000 hours of clinical work experience, in which a minimum of 2,000 hours must be supervised, and pass the NAADAC Master Addiction Counselor (MAC) exam.
• An Unlicensed Psychotherapist is a psychotherapist listed in the State’s database and is authorized by law to practice psychotherapy in Colorado but is not licensed by the state and was not required to satisfy any standardized educational or testing requirements to obtain a registration from the state.

Angela Paul has a Master’s Degree in Social Work (MSW) from the University of Denver Graduate School of Social Work, Denver, CO. It is an 18-month, Advanced Standing degree that required field experiences through internship. In graduate school, Angela obtained her experience as a VA Social Work Intern. Angela is a Licensed Social Worker (LSW.0009925388) and Licensed Addiction Counselor (ACD.0002459) in the State of Colorado. Angela is supervised by Catherine Ocasio, LCSW, LAC, MAC (CSW.00000617; ACD.0000163).

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

You are entitled to receive information about my methods, the techniques used, the duration if known, and the fee structure. You can seek a second opinion from another therapist or terminate therapy at any time.

In a professional relationship, sexual intimacy is never appropriate and should be reported to the Division of Professions and Occupations.

The information provided by you, the client, during sessions is legally confidential and cannot be released without your consent. There are exceptions to this confidentiality, some of which are listed in §12-43-218 as well as other exceptions in Colorado and Federal law. For example, mental health professionals are required to report child abuse to authorities. In such cases, I will exercise the necessary interventions as required by the law in order to protect you or others. If a legal exception arises, if feasible, you will be informed accordingly.

I have read the preceding information for the Mandatory Disclosure Information and understand my rights as a client or as the client’s responsible party.

MANDATORY DISCLOSURE WILL BE SIGNED PRIOR TO INTAKE