|
Pathways Christian Counseling 230 West
Sandusky Street Findlay, OH 45840 419.423.7812 Supervision Policy The following information is required by law. Your counseling services are being provided by a licensed counselor or social worker. For those therapists who are not yet independently licensed, Pathways provides “clinical supervision” and “work supervision”. For those therapists who are independently licensed, Pathways provides “mental health worker supervision”. These types of supervision are in accordance with the laws of the State of Ohio and the rules and regulations of the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, as well as, the State of Ohio Psychology Board. Clinical supervision is provided by Sandra Tebbe, L.P.C.C., L.I.C.D.C. Work and mental health worker supervision are provided by Bonnie Kauffmann, L.S.W., L.P.C.C., Ph.D., L.I.C.D.C. Supervisors are the primarily responsible persons for the clinical services you receive. Billing will be submitted in their names. For clients, this means that you may receive a statement from your insurance company which refers to one of the above supervisors rather than your therapist. Our rate of billing for services provided by a Master’s level clinician are $120 for initial intakes and $100 for subsequent sessions. Your counseling services are confidential, but are discussed with supervisors. Therapists share information about cases with supervisors in order to have the benefit of the supervisors’ experience and knowledge. Generally, supervisors will discuss cases with therapists in the same month that you began counseling and every three months thereafter, but it may be more frequent if necessary. The supervisors are under the same confidentiality guidelines as the therapists. Certain information may be required by law to be reported. Please see our statement about confidentiality in the “policies and procedures” information you received. If you wish to meet with a supervisor regarding your case, you may do so by contacting Pathways at the number above. Please sign below to indicate that you have read and understood this information. ______________________________ Client name and date ______________________________ Parent/Guardian (if minor) and date _______________________________ Sandra Tebbe, L.P.C.C., L.I.C.D.C. ________________________________ Bonnie Kauffmann, L.S.W., L.P.C.C., Ph.D. L.I.C.D.C. |