Professional Disclosure Statement
Theresa J. Page, MA, LPC
Philosophy and Approach
My approach to counseling is best described as integrative, working within a framework of psychodynamic, developmental and attachment models. I believe people are capable of reaching their best potential given the right support and tools for change. When appropriate, I use creative and expressive approaches including play therapy and sandtray therapy. The goals of counseling will be based on each client individually according to his or her specific concerns and reasons for entering into counseling.
Formal Training and Education
I hold a Masters Degree in Counseling Psychology from Lewis and Clark College. My coursework and practice focus emphasized counseling with children and adolescents, individual adult counseling, couples counseling, family therapy and play therapy training. I am a Licensed Professional Counselor (LPC) with the state of Oregon. I am certified as a clinical supervisor for counselors working toward licensure.
Billing and Fees
My fees are $165.00 for the initial intake session, $110.00 for individual sessions, parent consultation, and family sessions. Classroom Observations/Assessments start at $110.00, and Mental Health Evaluations start at $165.00. Any written reports will be billed at $110.00 per hour of preparation. Any court or phone consultations requested on behalf of a client will also be billed at $110.00 per hour. For court testimony my minimum charge is $250. Driving time will also be billed at my hourly rate. My fee for consultation and supervision is $90 per hour. Due to the cost and time involved in billing insurance companies, I offer a reduced fees for clients who choose private pay at the time of service without billing insurance.
Confidentiality
I will not release any information about you to any person or agency without your written consent except as noted in the Bill of Rights as follows.
As a Licensee of the Oregon Board of Licensed Professional Counselors and Therapists, I will abide by its Code of Ethics. To maintain my license I am required to participate in frequent continuing education, taking courses with subjects relevant to this profession. I also participate in professional supervision and consultation groups with other licensed therapists and counselors in order to support my work with clients. I am happy to explain this process to you.
You have the following rights as a client of an Oregon licensee:
- To expect that the licensee has met the minimal 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;
- To report any 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 and law, including the following exceptions:
- Reporting suspected child abuse and elder abuse;
- Reporting imminent danger to client or others;
- Reporting information required in court proceedings or by client's insurance company, or other relevant agencies;
- Providing information concerning licensee consultation or supervision; and
- Defending claims brought by client against licensee
- To be free from being the object of discrimination on the basis of race, religion, gender, or other unlawful category while receiving services.
You may contact the Board of Licensed Professional Counselors and Therapists at:
3218 Pringle Rd. SE #250,
Salem, OR 97302-6312
Telephone: (503) 378-5499
Email: lpc.lmft@state.or.us
Website: www.oregon.gov/OBLPCT
