Darryl Brown, Jr , MA, LCMHC, LCAS 2026

1. Click ‘Get Form’ to open the Professional Disclosure Statement in the editor.
2. Begin by filling in your personal information at the top of the form, including your name and contact details.
3. Review the qualifications section carefully. This outlines Darryl Brown's credentials and experience. Ensure you understand his background as it may influence your counseling experience.
4. In the licensure section, confirm that you acknowledge Darryl's licenses. This is important for understanding his professional standing.
5. Fill out the session fees and length of service section. Note the costs associated with sessions and payment methods available.
6. Read through the confidentiality clause thoroughly. It’s crucial to understand how your information will be handled during therapy.
7. Finally, sign and date at the bottom of the form to indicate your acceptance of terms before submitting it.

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