Susan M. Hall, D.Min., LMHC
200 First Ave. West, Seattle, WA 98119
Training
and Degrees: I
received my Bachelors in Social Work in 1991 from Anderson University in
Anderson, Indiana. A year later, I
co-founded a shelter for women and children called Dove Harbor.
In 1995, I became the Executive Director of Dove Harbor and consulted
with two other organizations to open other shelters across the state of Indiana.
I graduated with my Master of Arts in Counseling from Western Seminary
Seattle in 2000 and went on to complete a one-year counseling internship under
the supervision of Dr. Dan Allender and Dr. Kirk Webb.
This internship included training in marriage, family, and individual
intervention. In June of 2004, I
became a Licensed Mental Health Counselor in the State of Washington
(#LH00008920). In May, 2008, I graduated from San Francisco Theological Seminary with a Doctor of Ministry in International Feminist Theology.
Counseling
Orientation: I
view the counseling process as forming an alliance with you to explore the
nature of your struggles. Although
we will spend much time dealing with the specific issues that brought you into
counseling, we will also look at the nature of your relationships with the
significant people in your life as well. According
to my theoretical orientation, many of the forces and dynamics that have
influenced the complexity and intensity of your struggles are rooted in
relational issues. I believe you
are made to relate in a satisfying and self-giving manner, and this is likely
both the source of your greatest joy but also of your deepest problems.
Thus, we will explore how your relational style interferes with the
enjoyment for which you are made. This
is also meant to give you hope, that by dealing with the source of the problem
we will address the constellation of symptomologies as well.
I believe that some issues can have a physical component; in such cases,
medical consultation will be advised.
Billing
and Insurance Information: The
fee for counseling will be $130.00 per 50 minute session.
Payments are to be made at each session.
You will be charged for a missed appointment if you have failed to notify
me within 24 hours of our scheduled time (illness and emergencies excepted).
Fees may increase periodically, and thus the fees are subject to change
with two weeks prior notification.
I
do not file insurance claims for you. If
your insurance provider will be covering the cost of your counseling then you
need to make arrangements with them to reimburse you directly.
You are responsible for obtaining and filling out any appropriate
paperwork and submitting it to the insurance company.
I will be glad to fill out any part of the form that is necessary.
Choosing
a Counselor: You
have the right to choose a counselor who best suits your needs and purposes. You may seek a second opinion from another mental health
practitioner or may terminate therapy at any time.
Confidentiality:
There is a legal privilege in this state protecting
the confidentiality of the information that you share with me.
As a professional, I can assure you that I strive to maintain the
strictest ethical standards of confidentiality.
There
are legal exceptions to confidentiality. The
following situations are those in which the information you have shared with me
may be shared with others.
1)
The
client gives written permission to share confidential information.
2)
Anything
that suggests a crime or harmful act.
3)
If the
client is a minor, and there is indication that she/he was the victim or subject
of a crime.
4)
The
client brings charges against the counselor.
5)
In
response to a subpoena.
6)
As
required under chapter 26.44 RCW.
When
it is possible, we will discuss any exceptions to confidentiality as they arise.
Consultations:
I regularly consult with other professionals
regarding clients with whom I am working. This
allows me to gain other perspectives and ideas as to how to best help you reach
your goals. These consultations are
obtained in such a way that confidentiality is maintained.
Scheduling
Appointments: Appointments
are generally made on a regular, weekly basis.
Appointment times are not automatically held open for you from week to
week. It is your responsibility to
reschedule at the end of a session.
State
Information: Counselors
practicing counseling for a fee must be registered or certified with the
department of health for the protection of the public health and safety.
Registration of an individual with the department does not include a
recognition of any practice standards, nor necessarily implies the effectiveness
of any treatment.
The
purpose of the Counselor Credentialing Act (Chapter 18.19 RCW) is (A) To provide
protection for public health and safety; and (B) To empower the citizens of the
State of Washington by providing a complaint process against those counselors
who would commit acts of unprofessional conduct.
Unprofessional
Conduct: The
brochure called "Counseling or Hypnotherapy Clients" lists ways in
which counselors may work in an unprofessional manner.
If you suspect that my conduct has been unprofessional in any way, please
contact the Department of Health at the following address and phone number:
Department of Health, Counselor Programs
P.O. Box 47869
Olympia, WA 98504-7869
360.664.9098
Contacting
Me by Phone: You
may leave me a message at 206.660.5483. I
will check these messages on a regular basis.
Please limit your phone conversation needs to appointment scheduling and
emergencies.
Emergencies:
If you are in an emergency and cannot reach me,
please call one of the following numbers for help: General Emergencies
911
Crisis Clinic
800.244.5767 or
206.461.3222
________________________________________________________________________
I
have read and understand the information presented in this form.
_________________________________
________________
Client
Signature
Date
_________________________________
________________
Client
Signature
Date
_________________________________
________________
Therapist
Date