Personal Disclosure Statement

Personal Disclosure Statement

Professional Disclosure Statement. If you already have a PDS created, you may revise your
current
PDS to resemble a group PDS for this class. If you have not developed an individual PDS the
following
items should be included to reflect the group PDS needed for distribution amongst group
members. For
an example, please see your instructor during your initial group preparation meeting.
– Name
– Contact information
– Formal education
– Professional membership(s)

– Purpose of group counseling
– Diversity statement
– Theoretical foundation
– Confidentiality statement
– Expectations from group counseling
– Drawbacks from group counseling
– Responsibilities of group leaders
– Responsibilities of group members
– Fees
– Referra