COUNSELING RELATIONSHIP: A therapeutic relationship is based on mutual trust, respect, and honesty. The personal dignity and right to self-determination of each client shall be recognized in the provision of all services.
QUALIFCIATIONS & THEORECTICAL BACKGROUND: As a trained and Licensed Clinical Social Worker, I am committed to a holistic therapeutic approach to helping clients identify and change their thoughts and behaviors that may be causing pain. This is an empowering process for clients. It is only a thought and a thought can be changed. The meaning you give to your life creates patterns for your future.
I work with every person as a whole spiritual being addressing the mind, body, and spirit. I use visualization, affirmations, deep-breathing and relaxation exercises, role-playing, and journaling as part of my treatment with a strong foundation from the Strengths-Based Theory with a Cognitive Behavioral Therapeutic approach.
I have experience working with clients who may be trying to overcome depression, worry, grief, self-awareness, low self-esteem, career changes, sexual trauma, abuse, addiction, relationship difficulties, Post-Traumatic Stress Disorder, and parenting issues.
Gaining skills to reshape the way you are able to respond to unexpected changes in our life will give you the power to overcome any discomfort you may be experiencing. Defining your purpose in life or personal growth can also be expected in therapy. When coping skills are compromised by guilt, resentment, low self-esteem, or anxiety, counseling can empower you to take the next step to make changes in your life. Therapy is a partnership between you and your therapist to provide support, improve problem-solving skills, and enhance coping with issues such as depression, anxiety, relationship issues, unresolved childhood issues, bereavement, spiritual conflicts, stress management, body image issues, and creative blocks. People seeking psychotherapy are willing to take responsibility for their thoughts and behaviors and are willing to work towards creating greater awareness of self-approval and self-acceptance.
I am a member of the National Association of Social Workers (NASW). I am Licensed Clinical Social Worker (LCSW) in the State of Georgia. I am currently licensed by the Georgia Composite Board of Social Workers, Marriage and Family Therapists, and Licensed Professional Counselors, 237 Coliseum Drive Macon, GA, 31217-3858, Telephone: 478.207.2440. My Georgia License Number is CSW0083. I am guided by the Principles and Standards set forth in the NASW Code of Ethics, a copy of which is available upon request.
PRIVILEGED COMMUNICATION: Information discussed in sessions and documentation in the written client record is generally legally protected as both confidential and privileged. However, there are limits to the privilege of confidentiality. These limits include the following situations:
The therapist has suspicion of abuse of a child, elder, or disabled person
The therapist suspects the client is in danger of harming themselves, another person, or the client is gravely disabled and unable to provide adequate self care
The therapist may be legally ordered by a court to release privileged information
The client is utilizing a third party payor such as medical insurance or an employee assistance program to pay in part or full for services. Privileged information may be released in order to facilitate processing of session fees, claims, case reviews, or appeals
Privileged information may be compromised due to a natural disaster whereby protected records may become exposed
The therapist will request the client or client’s legal guardian sign an authorization to release protected information in the event the information is intended to be shared. The therapist values and respects the clients right to confidentiality, however, it should be noted that there may be times when the therapist is required by law to release privileged client information even without client’s authorization.
SESSIONS AND FEES: The initial assessment session is generally 60-90 minutes with a customary fee of $120.00. Thereafter, individual and family sessions are generally
45-50 minutes with a customary fee of $110.00. Group sessions are 60-90 minutes with a customary fee of $45.00. Telephone calls longer than 15 minutes in duration have a customary fee of $110.00 (equivalent of one individual session). Sliding scale fees are limitedly available with proof of income. Fees are expected at the time services are rendered unless otherwise pre-arranged. The therapist may have contracted with EAP plans for agreed upon fees. Clients are only responsible for usual fees associated with their managed care/insurance plan. 24 hour notification is requested to cancel an appointment. Charges in the amount of the contracted rate will accrue for appointments missed without 24 hour notice. The therapist maintains discretion regarding assigning the charge. This fee cannot be billed to the client’s EAP/insurance carrier; as such the client is responsible for payment of contracted rate. There is a $110.00 hourly fee for preparation of clinical reports. There is a $285.00 hourly fee for court testimony, preparation, and appearance. The client is responsible for fees associated with court services and report preparation.
EMERGENCIES: Clients requiring unplanned, non-emergent assistance during office hours(10am-5pm, Monday-Thursday). You may call the confidential office voicemail at 404.272.6922 indicating the urgency of the message. Appropriate action will be taken to provide assistance as indicated. Clients in need of life threatening emergency assistance are instructed to call 911 for immediate attention. In the event of an extended absence or vacation, the therapist will arrange emergency or as needed coverage with a licensed colleague. The colleague’s contact information will be provided to the client.
CLIENT RESPONSIBLITIES: Clients are expected to follow appointment procedures, fully participate in the therapeutic process, and pay for services at the end of each session. Payments in the form of cash, personal checks, and online credit card payments through my secure PayPal account are currently accepted. You may make an online credit card payment by accessing my website at www.jennifermoorecounseling.com . There is a $35.00 charge for all returned checks due to client’s Non Sufficient Funds (NSF). The client is responsible for the session fee/co-payment and the NSF charge. It is essential that the client notify the therapist of any other ongoing professional counseling relationships and discuss this with both therapists. It is strongly suggested that the client have a complete physical exam if this has not been done within the past year, and provide the therapist with a list of current medications. Clients are expected to provide necessary information to facilitate effective therapeutic results. Clients are expected to take an active, collaborative role in their therapy. Clients will often be assigned homework tasks in between office sessions. Therapy gains, progress, and success require a client’s energy, mindfulness, and effort inside and outside the therapy office. Clients are advised that additional issues may arise during the course of treatment and that strains may be placed on relationships. All parties are encouraged to be involved in the therapeutic process.
GRIEVANCES: A therapeutic relationship is based on mutual trust and respect. Clients have a right to express any concerns or complaints with the therapist or the therapy plan at any time. The therapist strongly encourages clients to openly discuss with the therapist any clinical or administrative concerns. If a client’s grievance can not be resolved between the therapist and client, the therapist will provide client with additional grievance options.
CONSENT FOR TREATMENT: By signing below, you (the client and/or guardian) have read and understood these policies and procedures. By signing below, you are stating that any and all of your questions have been answered to your satisfaction.
I accept, understand, and agree to honor the contents and terms of this agreement and further, I consent to participate in a therapeutic relationship with Jennifer Moore, LCSW. I understand that planned termination of the therapeutic relationship is generally in my best interest, and I further understand that I may withdraw from therapy at any time.
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CLIENT SIGNATURE/DATE
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PARENT/LEGAL GAURDIAN SIGNATURE (if client is a minor)/DATE
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JENNIFER MOORE, LCSW/DATE GA LICENSE #CSW0083