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Professional Disclosure Statement
The professional disclosure statement is a document that an LPC, LMFT, or registered intern gives to each client that provides information about the licensee/intern and his/her practice.
Who must have a PDS?
  • Every applicant for licensure must submit a PDS as part of his or her application.
  • Every LPC, LMFT, and intern practicing in Oregon must have, maintain and distribute a PDS unless the licensee or intern provides crisis services or has been granted a waiver from the Board.
  • The Board must approve all PDSs.
  • Name, business address and telephone number (place or places of practice);
  • Philosophy and approach, including codes of ethics followed and list of the Client Bill of Rights;
  • Formal education and training, including name of degree and school issuing degree;
  • Continuing education requirements, should be listed by licensees;
    Registered intern status and name of supervisor should be listed by interns;
  • Fee schedule a dollar amount or dollar range;
  • Name, address, phone number, email, and website addresses of the Board.
  • A statement that additional information about licensee or intern is available on the Board's website. 
  • To the Board office for approval.
  • To all clients at the onset of counseling or therapy prior to the actual performance or provision of service. This may mean presentation to parent, legal guardian, or an agency or custodial institution, or a supervisee. No PDS is required to clients receiving crisis care.
Q: I’m not in private practice, do I need to hand out disclosure statements?
A: Yes. If you are licensed and you are practicing, it’s a condition of licensure.
Q: I’m also licensed as an LCSW, psychologist, etc... and I practice under that license, do I need to be handing out a PDS?
A: Yes, if what you do falls within the definition of "professional counseling" or "marriage & family therapy".
Q: I’m living and practicing in another state, do I have to file a PDS and hand them out?
A: No. You must still notify the Board of your practice, but a PDS is not required.
Q: My agency does not want me to hand out my PDS. What should I do?
A: Send the Board a waiver request for a suggested format, content, or distribution requirement, or work with your agency to find a format that is acceptable to all (the agency, you, and the Board).
Q: Do I address the PDS to the Board?
A: No. These should be written for or to your client. Keep them simple and easy to understand.
Q: I have more than one practice, should I have more than one PDS?
A: No, they can be combined so both addresses, phone numbers, and fee schedules or differing information show on the one PDS. If your practices are separate or an employer objects to clients receiving information on your other practice, then you might want to consider separate PDSs.
Q: Should I have them printed before I send it for approval?
A: It might be better to start with photocopies and wait to see that no changes are required for approval.
Rev. October 2012