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Terms and Policy

Mandatory Disclosure

STATE OF COLORADO MANDATORY DISCLOSURE


1. Troy Todd, Ph.D., BCN at Personal Performance Solutions

  13540 Northgate Estates Dr., #100E

  Colorado Springs, CO 80921

  (719) 321-1989


2. 

- A Registered 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 is not required to satisfy any standardized educational or testing requirements to obtain a registration from the state. 

- A Certified Addiction Counselor I (CAC I) must be a high school graduate or equivalent, complete required training hours and 1,000 hours of supervised experience. 

- A Certified Addiction Counselor II (CAC II) must be a high school graduate or equivalent, complete the CAC I requirements, and obtain additional required training hours, 2,000 additional hours of supervised experience, and pass a national exam. 

- A Certified Addiction Counselor III (CAC III) must have a bachelor's degree in behavioral health, complete CAC II requirements, and complete additional required training hours, 2,000 additional hours of supervised experience, and pass a national exam. 

- A Licensed Addiction Counselor must have a clinical master's degree, meet the CAC III requirements, and pass a national exam. 

- A Licensed Social Worker must hold a master's degree from a graduate school of social work and pass an examination in social work. 

- A Licensed Clinical Social Worker must hold a master's or doctorate degree from a graduate school of social work, practiced as a social worker for at least two years, and pass an examination in social work.

- A Psychologist Candidate, a Marriage and Family Therapist Candidate, and a Licensed Professional Counselor Candidate must hold the necessary licensing degree and be in the process of completing the required supervision 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 post-doctoral practice, and pass an 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, and pass an exam in in professional counseling. 

- A Licensed Psychologist must hold a doctorate degree in psychology, have one year of post-doctoral supervision, and pass an examination in psychology. 


3.Degrees:

  Bachelor of Science, Zoology, Brigham Young University (1993)

  Master of Science, Biology, Texas A&M University-Corpus Christi (1996)

  Doctor of Philosophy, Clinical Psychology, The California School of Professional Psychology at Alliant University (2003) 

  Clinical Internship 2002-2003 Wilford Hall Medical Center


License: Colorado Licensed Clinical Psychologist #3298  

Certification: Biofeedback Certification International Alliance Associate Fellow in Neurofeedback, #E5166


4.

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 [list the name of the Colorado board regulating your profession] can be reached at 1560 Broadway, Suite 1350, Denver, Colorado 80202, (303) 894-7800. 


5. You are entitled to receive information about the methods of therapy, the techniques used, duration of therapy, if known, and the fee structure.


6. You may seek a second opinion from another therapist or may terminate therapy at any time. 


7. In a professional relationship, sexual intimacy is never appropriate and should be reported to the board that licensed, registers, or certifies the licensee, registrant, or certificate holder.


8. The information provided by the client during therapy sessions is legally confidential in the case of licensed marriage and family therapists, social workers, professional counselors, and psychologists; licensed or certified addiction counselors; and registered psychotherapists, except as provided in 12-43-218 and except for certain legal exceptions that will be identified by the licensee, registrant, or certificate holder should any such situation arise during therapy:

12-43-218. Disclosure of confidential communications - definitions
(1)  A licensee, registrant, or certificate holder shall not disclose, without the consent of the client, any confidential communications made by the client, or advice given to the client, in the course of professional employment. A licensee's, registrant's, or certificate holder's employee or associate, whether clerical or professional, shall not disclose any knowledge of said communications acquired in such capacity. Any person who has participated in any therapy conducted under the supervision of a licensee, registrant, or certificate holder, including group therapy sessions, shall not disclose any knowledge gained during the course of such therapy without the consent of the person to whom the knowledge relates.
(2)  Subsection (1) of this section does not apply when:
(a)  A client or the heirs, executors, or administrators of a client file suit or a complaint against a licensee, registrant, or certificate holder on any cause of action arising out of or connected with the care or treatment of the client by the licensee, registrant, or certificate holder;
(b)  A licensee, registrant, or certificate holder was in consultation with a physician, registered professional nurse, licensee, registrant, or certificate holder against whom a suit or complaint was filed based on the case out of which said suit or complaint arises;
(c)  A review of services of a licensee, registrant, or certificate holder is conducted by any of the following:
(I)  A board or a person or group authorized by the board to make an investigation on its behalf;
(II)  The governing board of a hospital licensed pursuant to part 1 of article 3 of title 25, C.R.S., where the licensee, registrant, or certificate holder practices or the medical staff of such hospital if the medical staff operates pursuant to written bylaws approved by the governing board of the hospital; or
(III)  A professional review committee established pursuant to section 12-43-203 (11) if said person has signed a release authorizing such review;
(d)  (I) A client, regardless of age:
(A)  Makes an articulable and significant threat against a school or the occupants of a school; or
(B)  Exhibits behaviors that, in the reasonable judgment of the licensee, registrant, or certificate holder, create an articulable and significant threat to the health or safety of students, teachers, administrators, or other school personnel.


Other Information About My Practice:


IF YOU TELL ME YOU INTEND TO HARM OTHERS OR THAT YOU ARE BEING ABUSED, I WILL REPORT IT TO LAW ENFORCEMENT WITHIN 24 HOURS.  THERE ARE NO EXCEPTIONS.


I do not close for weather.  If the weather appears too bad to travel to your appointment, please inform me as soon as possible that you cannot attend.


I do not charge for missed or canceled appointments.  Please be courteous and inform me as early as possible, preferably at least a day in advance, since there are other people that could use your appointment and I need to give them time to plan their schedule when I offer it to them.


After seven (7) years, or until the patient turns 18 (whichever is later) your records will be destroyed as per state regulations.

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