DISCLOSURE DOCUMENT: Please upload your document in canvas.  You will create i

 
DISCLOSURE DOCUMENT: Please upload your document in canvas.  You will create it based on WAC 246.810.31. WAC 246-810-031.pdf Download WAC 246-810-031.pdf 
Open the WAC 246.810.031 either through the Washington State Legislation page https://app.leg.wa.gov/wac/default.aspx?cite=246-810-031Links to an external site. or from the pdf attached.  This is the real, legal documentation you must follow with a two-year degree credential.   Follow each and every guideline to make your own disclosure document.   I don’t mind if you make up information… like your PhD, etc… for the sake of the assignment, but you must include the information in the WAC as a two year credentialed counselor.  (Any documentation found on the web may not include all that is required for a two year person under this WAC.  A person with a Masters or Phd might not have the same requirements and you will lose points if you don’t include everything.)
Special note: under the list notice that item (h) The limits of confidentiality under RCW 18.19.180Links to an external site.. will require you to open that RCW and use it.  Also you must include the list of unprofessional conduct RCW 18.130.180Links to an external site. , and the purpose of the Washington state credentialing act, also found on the WAC.
 I will subtract 10 points for each item missing from the list.  I have included two examples… the student example is a .tif and doesn’t download as a word document.  The other document above is a real disclosure used by professions that are LICENSED.  This is only an example…. do not follow as you will be missing valuable pieces required by Certified ADVISORS with a two year degree.  (Also, any examples you find on the web are likely to be for licensed therapists as well… they do not work for this assignment… you will lose points.  Follow the WAC!!!!  I don’t mind if you make up your degree and experience… but you must have all the requirements for a person with a 2 year degree as a Certified Advisor.)
Using the RCWs and WACs as a legal guide, students will create a mock Counselor disclosure document displaying all the necessary information according to the RCWs and WACs.  This document must be type written, legible, and contain all the necessary information.  This document will receive 100 points if handed in on time.  Ten points will be deducted for any items not listed, as identified in class and in the RCWs and WACs.  
Here is an example… not perfect but very good… student was missing a couple items from the WAC   . 
Informed Consent/Disclosure Document
Informed Consent/Disclosure Document
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeTurned in on time and professionally editedCopied and pasted mix/match of fonts and margins is not acceptable. This must look like a legal professional document.
10 ptsFull Marks
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeName, Address, Phone, and license number
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeEducation
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeType of counseling used & two apa references supporting types of counseling
20 ptsFull Marks
0 ptsNo Marks
20 pts
This criterion is linked to a Learning OutcomeSupervision
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeQualifications to diagnose
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeExceptions to confidentiality
10 ptsFull Marks
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeDOH statements
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeDOH Contact number for unprofessional conduct
10 ptsFull Marks
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeAttached Unprofessional Conduct
5 ptsFull Marks
0 ptsNo Marks
5 pts
This criterion is linked to a Learning OutcomeBilling
10 ptsFull Marks
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeSignature lines acknowledging receipt
10 ptsFull Marks
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeSubtracting 10 points for any additional items missing
0 ptsFull Marks
0 ptsNo Marks
0 pts