DATES
January 30, 2025
Time
1:00 p.m. – 4:15 p.m. CST
CE
NBCC Hours: 3
ACEP NO. 1705
Cost
$105.00 (NON REFUNDABLE)
Virtual Training Information
- You may Attend Live or Virtual.
- If you register for the Virtual Classroom training, make sure you have a good WIFI connection.
- Your computer will need a camera for you to be visible throughout the entire training to receive the certificate.
- We will be using Zoom for the training, and I will send you a link by Tuesday evening the week before the training.
Learning Objectives
- Identify information to incorporate into history intake forms
- History form for children
- History form for adolescents
- History form for caregivers of adolescents
- History form for adults
- Identify information to include in private practice intake forms
- Phone Intake Form for scheduling
- What we communicate to clients as they begin the intake process
- Insurance Information and Benefits
- Demographics and Communication
- Fee Policies
- Confidentiality and Emergencies
- Consent Form
- Policies and Procedures
- Privacy Practices
- Telehealth Informed Consent
- Good Faith Estimate
- Self-Pay Disclosure
- If you have students, supervisees, or consultees needing to video
- Electronic Media Release – drafted by an attourney
Dr. Rhonda Johnson
LPC-S, LMFT-S, REGISTERED PLAY THERAPIST™ SUPERVISOR, APPROVED CLINICAL SUPERVISOR, TBRI PRACTITIONER, EMDR CONSULTANT, SOMATIC EXPERIENCING™ PRACTITIONER
Dr. Johnson is the founder and owner of the Center for Counseling and Family Relationships, a large, thriving group practice that was established in 2007 and specializes in family systems and trauma-informed approaches. Dr. Johnson is also the founder and owner of CCFAM Training, established in 2012, offering supervision and ethics courses. She is also the owner of Play Therapy Training Resources, established in 2021. Through those companies, she provides continuing education, supervision, and consultations. She is also a teaching fellow for B.H. Carroll Seminary.
Dr. Johnson has supervised Interns and Associates since 2007, both individually and in groups, as well as virtually and live. She has also provided supervision for supervisees within her practice, for those outside of her practice, and for supervisees with multiple sites including community agencies, adoption agencies, and churches.
Cancellation and Refund Policy
This training is non-refundable, unless cancelled by training provider. Event will be cancelled if fewer than 6 participants.
