Form56 Feedback - q ABEPP q ACSW q NBCC q MFCC q Other...

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Feedback Form Dear Fellow Clinician, This book is the result of many therapists’ efforts to assist their peers in coping with the rapid and complex ethical and legal developments in the independent practice of psychotherapy. Continuing changes will make parts of The Paper Office obsolete in a few years, and so I intend to revise it to meet the evolving needs of therapists for ethical and legal forms and procedures. Please help me keep it useful and relevant by sending me your suggestions and modifications. You will receive credit in the revised editions, as well as a free copy of the next edition, for a significant contribu- tion. Edward L. Zuckerman, PhD P.O. Box 222 Armbrust, PA 15616-0222 First, would you please tell me about your professional life? Name: Mailing address: Your professional title: Degree(s): Areas of practice you specialize in: Highest relevant credential(s): q Licensed q Registered q Certified q National Register
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Unformatted text preview: q ABEPP q ACSW q NBCC q MFCC q Other: Member of this (these) national association(s): q AACD q AAMD q AAMFT/MSCC q ACSW q ANA q APsychologA q APsychiatA q APsychNurseA q ACS q NASP q None q Other: q Division(s) of this (these) national association(s): Member of your state’s professional association: q Yes q No q No state association Years in private practice when you bought this book: Full-time: years. Part-time: years. What were the biggest obstacles to your entering private practice? What have been your biggest problems in private practice? Which ethical or legal problems or questions seem most pressing to you right now? Now, please tell me about The Paper Office: What is your overall evaluation of the book? What specific changes would you suggest? Increase: Decrease or eliminate: What forms not included were most useful to you? What forms do you still need? 475...
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This note was uploaded on 07/01/2010 for the course COUN 6682 A and taught by Professor All during the Spring '10 term at Walden University.

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