Disclosure For Therapy

Quality Care You Can Count On

DISCLOSURE STATEMENT FOR BEHAVIORAL THERAPY SERVICES

 Kimberley A. Bell, PhD, NLC

 324 Railroad; Suite 500; Fort Morgan, CO 80701

 970.380.5450

 My Degrees:

PhD, Psychology, 2016

Capella University – Minneapolis, MN                      

Industrial Organizational Psychology Specialization

Dissertation Title: Spirituality in the Workplace: Differences in Employee

Well-being and Job Satisfaction across Spiritual and Secular Learning Institutes.

Master of Business Administrative (MBA)/Human Resource Management, 2006

University of Phoenix Phoenix, AZ   

Bachelor of Science in Management (BSM), 2004 University of Phoenix, Phoenix, AZ                                                                

Certifications and Licenses:

Registered Psychotherapist #NLC.0107231 licensed in Colorado. License expires 8/31/2019.

This license can be verified at:    www.colorado.gov/dora/dpo

  • The Colorado Department of Regulatory Agencies has the general responsibility of regulating the practice of licensed psychologists, licensed social workers, licensed professional counselors, licensed marriage and family therapists, licensed school psychologists practicing outside the school setting, licensed or certified addiction counselors and                                           unlicensed individuals who practice psychotherapy.              
  • The agency within the Department that has responsibility specifically for licensed and Registered Psychotherapists is the Department of Regulatory Agencies, Mental Health Section, 1560 Broadway, Suite 1350, Denver, Colorado 80202    (303) 894-7766.

Client Rights and Important Information:

  •  You are entitled to receive information from me about my methods of therapy, the techniques I use, the duration of your therapy (if I can determine it), and my fee structure. Please ask if you would like to receive this information.
  •  You can seek a second opinion from another therapist or terminate therapy at any time.
  •  In a professional relationship (such as ours), sexual intimacy between a therapist and a client is never appropriate. If sexual intimacy occurs, it should be reported to the Department of Regulatory Agencies, Mental Health Section.
  • Generally speaking, the information provided by and to a client during therapy sessions is legally confidential if the therapist is a licensed psychologist, licensed social worker, licensed professional counselor, licensed marriage and family therapist, licensed or certified addiction counselor, or a Registered Psychotherapist. If the information is legally confidential, the therapist cannot be forced to disclose the information without the client’s consent. Information disclosed to a licensed psychologist, licensed social worker, licensed professional counselor, licensed marriage and family therapist, licensed or certified addiction counselor, or a Registered Psychotherapist is privileged communication and cannot be disclosed in any court of competent jurisdiction in the State of Colorado without the consent of the person to whom the testimony sought relates.
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