Q: Can more than one therapist be listed on the mandatory disclosure statement? I.e., all the therapists at one practice?

A: A mental health practice in Colorado must comply with Colo. Rev. Stat. § 12-245-216 (some older forms will have the old code section as § 12-43-214, but that is no longer the current law). The code section requires a mental health care provider to give each patient a form detailing the credentials of the care provider, the provider's degrees, credentials, licenses, and qualifications, as well as a disclaimer about the different levels of licenses. The code section does not prevent listing more than one person on a single form. Each listing of a care provider must meet the code, so each listing should include the "name, business address, and business phone number of the unlicensed

psychotherapist, licensee, certificate holder, or registrant" and must also clearly indicate a "listing of any degrees, credentials, certifications, and licenses" each person holds. The largest pitfall might be arranging the form so each care provider's credentials are clear - no reasonable chance for the reader to attribute one set of credentials to the incorrect care provider.

After listing the care providers, comply with Colo. Rev. Stat. § 12-245-216 by including the remaining terms and disclaimers, and include the prescribed statements about the state regulatory body and the grievance phone number.

A careful layout of the form should comply with the code while listing more than one care provider within your facility.