Disclosure form

Disclosure Form *

 

Name:                             Linda Weber, M.A.

Address:                        525 Jack Pine Court

    Boulder, CO 80304

Phone:                            303-442-1394

Email:                             lindaweber@earthlink.net

Education:                   Masters degree in psychology and women’s studies, Vermont College,

Norwich Univ. 1990

Experience:

Counseling since 1970; psychotherapy since 1986

Women’s Wilderness Quests (vision quests, day quests, sacred walks), 1986-present

Author, Life Choices: The Teachings of Abortion (Sentient Publications, 2011)

Director of Counseling at Boulder Valley Women’s Health Center, 1973-1987

License:                 Registered psychotherapist NLC 0002685 (non-licensed)

Additional Training:

EMDR, Levels I and II.

The Essential Self with David La Chapelle; shamanic journeying with the Foundation for Shamanic Studies;

Rites of passage and death & dying work with the School of Lost Borders.

Self-study in spiritual psychology.

Colorado Law 12-43-214 requires all mental health professionals to give clients, at initial contact, information about credentials, training, licenses, methods of treatment, fees, and confidentiality. Exceptions are made for emergency situations or court order.

You are entitled to receive information about the methods of therapy, the techniques used, the duration of therapy, if known, and the fees. You may seek a second opinion from another counselor or therapist.

You may stop counseling at any time.

Sexual intimacy between client and counselor is not a part of any recognized therapy. Sexual intimacy between client and counselor is illegal in Colorado and should be reported to the Dept. of Regulatory Agencies, Mental Health Section.

The information provided by the client during therapy sessions is legally confidential.

The practice of licensed and non-licensed mental health professionals is regulated by the State Department of Regulatory Agencies. The Mental Health Section can be contacted at 1560 Broadway Suite 1370, Denver, CO 80202, 303-894-7766.

Exchange:

Fees are worked out on an individual basis with base fees of $85 for a 50-minute session, or $110 for 80 minutes. Cash, check, or credit card accepted. No charge for brief phone contact between sessions unless a phone session has been pre arranged.

Cancellation Policy: If no contact is made prior to a scheduled session then full fee is charged (exceptions made for bona fide emergencies). If you cancel your scheduled session at least 24 hours in advance no charge will be made. You may leave a message on my voice mail to cancel. You do not have to speak with me in person. If I make an error and forget an appointment or mark it in the wrong place in my appointment book, the next session is free. If you are late for an appointment and I must end on time, I will charge for the full session.

Website & Blog:        http://earthskycounseling.com

 

* required by the State of Colorado

form updated July 2015

for more information click here.