Legal Notice from the
State of Washington
Department of Health
Client and Counselor Responsibilities and Rights
Counselors must provide disclosure information to
each client in accordance with chapter 18.19 RCW prior to
implementation of a treatment plan. The disclosure information
must be specific to the type of counseling service offered; in
language that can be easily understood by the client; and
contain sufficient detail to enable the client to make an
informed decision whether or not to accept treatment from the
disclosing counselor. If you have concerns about being dependent
upon your counselor or hypnotherapist, talk to him or her about
it. Remember, you are going to that person to seek assistance
that helps you learn how to control your own life. You can and
should ask questions if you don’t fully understand what your
counselor or hypnotherapist is doing or plans to do.
Requirement for Registration or Certification
Your counselor or hypnotherapist must be either registered or
certified through the Washington State Department of Health
unless otherwise exempt. To be registered, a person fills out an
application and pays a fee. To become certified, a person fills
out an application form and pays a fee, but he or she must also
show proof of appropriate education and training. There are some
people who do not need to be either registered or certified
because they are exempt from the law. You should ask your
counselor or hypnotherapist if he or she is registered or
certified and discuss his or her qualifications to be your
counselor or hypnotherapist.
Definitions
Counseling means using therapeutic techniques to help another
person deal with mental, emotional and behavioral problems or to
develop human awareness and potential. A registered or certified
counselor is a person who gets paid for providing counseling
services.
Confidentiality
Your counselor or hypnotherapist
cannot disclose any information you’ve told them during a
counseling session except as authorized by RCW 18.19.180:.2 (1)
With the written consent of that person or, in the case of death
or disability, the person’s personal representative, other
person authorized to sue, or the beneficiary of an insurance
policy on the person’s life, health, or physical condition; (2)
That a person registered or certified under this chapter is not
required to treat as confidential a communication that reveals
the contemplation or commission of a crime or harmful act; (3)
If the person is a minor, and the information acquired by the
person registered or certified under this chapter indicates that
the minor was the victim or subject of a crime, the person
registered or certified may testify fully upon any examination,
trial, or other proceeding in which the commission of the crime
is the subject of the inquiry; (4) If the person waives the
privilege by bringing charges against the person registered or
certified under this chapter; (5) In response to a subpoena from
a court of law or the secretary. The secretary may subpoena only
records related to a complaint or report under chapter 18.130
RCW; or (6) As required under chapter 26.44 RCW.
Assurance of Professional Conduct
Thousands of people in the counseling or hypnotherapy
professions practice their skills with competence and treat
their clients in a professional manner. If you and the counselor
agree to the course of treatment and the counselor deviates from
the agreed treatment, you have the right to question the change
and to end the counseling if that seems appropriate to you.
The State of Washington Department of Health wants you to know
that there are acts that would be considered unprofessional
conduct. If any of the following situations occur during your
course of treatment, you are encouraged to contact the
Department of Health at the address or phone number in this
publication to find out how to file a complaint against the
offending counselor or hypnotherapist. The following situations
are not identified to alarm you, but are identified so you can
be an informed consumer of counseling or hypnotherapy services.
The conduct, acts or conditions listed below give you a general
idea of the kinds of behavior that could be considered a
violation of law as defined in RCW 18.130.180.
(1) The commission of any act involving moral turpitude,
dishonesty, or corruption relating to the practice of the
person’s profession, whether the act constitutes a crime or not.
If the act constitutes a crime, conviction in a criminal
proceeding is not a condition precedent to disciplinary action.
Upon such a conviction, however, the judgment and sentence is
conclusive evidence at the ensuing disciplinary hearing of the
guilt of the license holder or applicant of the crime described
in the.3 indictment or information, and of the person’s
violation of the statute on which it is based. For the purposes
of this section, conviction includes all instances in which a
plea of guilty or nolo contendere is the basis for the
conviction and all proceedings in which the sentence has been
deferred or suspended. Nothing in this section abrogates rights
guaranteed under chapter 9.96A RCW;
(2) Misrepresentation or concealment of a material fact in
obtaining a license or in reinstatement thereof;
(3) All advertising which is false, fraudulent, or misleading;
(4) Incompetence, negligence, or malpractice which results in
injury to a patient or which creates an unreasonable risk that a
patient may be harmed. The use of a nontraditional treatment by
itself shall not constitute unprofessional conduct, provided
that it does not result in injury to a patient or create an
unreasonable risk that a patient may be harmed;
(5) Suspension, revocation, or restriction of the individual’s
license to practice any health care profession by competent
authority in any state, federal, or foreign jurisdiction, a
certified copy of the order, stipulation, or agreement being
conclusive evidence of the revocation, suspension, or
restriction;
(6) The possession, use, prescription for use, or distribution
of controlled substances or legend drugs in any way other than
for legitimate or therapeutic purposes, diversion of controlled
substances or legend drugs, the violation of any drug law, or
prescribing controlled substances for oneself;
(7) Violation of any state or federal statute or administrative
rule regulating the profession in question, including any
statute or rule defining or establishing standards of patient
care or professional conduct or practice;
(8) Failure to cooperate with the disciplining authority by:
(a) Not furnishing any papers or documents;
(b) Not furnishing in writing a full and complete explanation
covering the matter contained in the complaint filed with the
disciplining authority;
(c) Not responding to subpoenas issued by the disciplining
authority, whether or not the recipient of the subpoena is the
accused in the proceedings; or
(d) Not providing reasonable and timely access for authorized
representatives of the disciplining authority seeking to perform
practice reviews at facilities utilized by the license holder;
(9) Failure to comply with an order issued by the disciplining
authority or a stipulation for informal disposition entered into
with the disciplining authority;.4
(10) Aiding or abetting an unlicensed person to practice when a
license is required;
(11) Violations of rules established by any health agency;
(12) Practice beyond the scope of practice as defined by law or
rule;
(13) Misrepresentation or fraud in any aspect of the conduct of
the business or profession;
(14) Failure to adequately supervise auxiliary staff to the
extent that the consumer’s health or safety is at risk;
(15) Engaging in a profession involving contact with the public
while suffering from a contagious or infectious disease
involving serious risk to public health;
(16) Promotion for personal gain of any unnecessary or
inefficacious drug, device, treatment, procedure, or service;
(17) Conviction of any gross misdemeanor or felony relating to
the practice of the person’s profession.
For the purposes of this subsection, conviction includes all
instances in which a plea of guilty or nolo contendere is the
basis for conviction and all proceedings in which the sentence
has been deferred or suspended.
Nothing in this section abrogates rights guaranteed under
chapter 9.96A RCW;
(18) The procuring, or aiding or abetting in procuring, a
criminal abortion;
(19) The offering, undertaking, or agreeing to cure or treat
disease by a secret method, procedure, treatment, or medicine,
or the treating, operating, or prescribing for any health
condition by a method, means or procedure which the licensee
refuses to
divulge upon demand of the disciplining authority;
(20) The willful betrayal of a practitioner-patient privilege as
recognized by law;
(21) Violation of chapter 19.68 RCW;
(22) Interference with an investigation or disciplinary
proceeding by willful misrepresentation of facts before the
disciplining authority or its authorized representative, or by
the use of threats or harassment against any patient or witness
to prevent them from providing evidence in a disciplinary
proceeding or any other legal action, or by the use of financial
inducements to any patient or witness to prevent or attempt to
prevent him or her from providing evidence in a disciplinary
proceeding;
(23) Current misuse of:
(a) Alcohol;
(b) Controlled substances; or
(c) Legend drugs;.5
(24) Abuse of a client or patient or sexual contact with a
client or patient;
(25) Acceptance of more than a nominal gratuity, hospitality, or
subsidy offered by a representative or vendor of medical or
health-related products or services intended for patients, in
contemplation of a sale or for use in research publishable in
professional journals, where a conflict of interest is
presented, as defined by rules of the disciplining authority, in
consultation with the department, based on recognized
professional ethical standards.
This publication should not be considered as the final source of
information. If you want more information about the law
regulating counselors and hypnotherapists or want to file a
complaint, please write to:
Department of Health, Health Professions Quality Assurance
Division,
PO Box 47869, Olympia, Washington 98504-7869.
If you want to contact someone by phone to discuss the law or
talk about a possible complaint, call (360) 236-4902 Monday
through Friday, 8:00 a.m. to 5:00 p.m. Additional copies of this
publication or a camera-ready copy for your future use may be
obtained by writing to the address above or calling (360)
236-4902. DOH PUB 670-001 (r5-5-00)