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Professional Disclosure Statement

 

Name & Address:

Lloysa Gallery MA, LLP, LPC

Future & Hope Counseling Services LLC

3550 Shattuck Rd. STE C.

Saginaw, MI 48603

 

Description of Practice:

At Future & Hope Counseling Services LLC, there are a variety of options to suit a variety of needs. I offer couples counseling, co-parenting services for separated/divorced couples, play therapy for children, therapy for anxiety, Cognitive Behavioral Therapy, and Trauma Focused Cognitive Behavioral Therapy for children ages 3-17 who have been through trauma. Services offered include both individual, family, and group based off of preferences and need. Both telehealth and in person sessions offered at this time. My practice is guided by legal and ethical standards that provides individuals with assessment, diagnosis, psycho-education, and guidance towards your personalized goals. Christian counseling available upon request.

It is my mission to offer these services in both a psychological and physical space for safety, rapport, trust, compassion, and respectful environment where each client can feel free from judgement and pursue their goals based on their needs to empower healthy change.

Qualifications, Education & Credentials:

-Bachelors of Science in Psychology and Human Development- Graduated 2007 from Central Michigan University

-Masters of Arts in Counseling Psychology-Graduated 2009 from Western Michigan University

-Master of Arts in Counseling w/ focus in School Counseling 2015 from Central Michigan University

-National Certification in Trauma Focused Cognitive Behavioral Therapist- current certification effective through 03/20/2027

-LLP License #- 6361006904

-LPC License #-6401015335

-NPI- 1376190892

Fee Scale:

All fees are based off on either individual, family, or group sessions and based on time from 30 minute, 45 minute, or 60 minute sessions. I currently do not offer a sliding scale fee. Private pay fees are due at time of services. If you hold commercial insurance, it is your responsibility as the client to check your insurance plan benefits. All other billing and eligible benefits will be processed during billing period monthly. Most insurance plans are accepted. Co-pay and deductible fees apply at time of service unless otherwise discussed between you and your therapist. If you do not give 24 notice for cancellation, there is a $35 fee that you will be responsible for prior to scheduling your next appointment. Your case will be closed after 30 days of no contact, no communication, or scheduled appointments. If additional fees are incurred by 3rd party contacts, extended phone calls, emails, letters written, educational meetings, or court appearances this will be discussed between client and therapist prior to.

Intake/1st appointment- $180

Individual 30 minutes- $90

Individual 45 minutes- $130

Individual 60 minutes- $150

Family 45 minutes- $160

Family w/o Consumer- $150

Co-parenting- $90

Special Workshops- $60

Letters/Emails 30 minutes- $25

Phone calls 30 minutes- $30

Court appearances- fees vary

Group- fees vary per group

 

Code of Conduct:

The State of Michigan requires counselors to adhere to a specific Code of Conduct that is determined by the Board of Counseling. If, at any time, you feel that your legal or ethical rights have been violated as a client, you may file a complaint with:

Michigan Department of Licensing and Regulatory Affairs

Health Professions Division

Enforcement Section

P.O. Box 30670

Lansing, MI 48909

517-373-9196

 

Client Responsibilities and Rights:

Clients have the right to information concerning your treatment and care. I encourage questions, comments, and feedback to help continue established trust and rapport. Clients are expected to keep appointments and notify me if they are seeing another healthcare professional. Clients have the right to terminate the counseling process at any time for any reason. I have the right and ethical responsibility to terminate counseling and offer a referral to another counselor or another health care professional as is requested.

In Case of Emergencies:

In case of a dire emergency (such as suicide attempts or anxiety attacks) please call your local hospital or 911. 988 for Suicide and Crisis Hotline. I will always do my best to contact you within 24 hours of receiving your message via phone, Facebook business page, or website to best assist you.