Registration for Realities of Ethics and Supervision Sept 6, 2013

3 CEUs approved for LADC, CADC, Case Manager, LPC and LMFT:
SUPERVISION CEU’S: 3.0
ETHICAL HOURS: 3.0

Also For LADC and CADC
DRUG & ALCOHOL SPECIFIC CEU’S: 3.0

Go to www.EnvisionOK.com for more information about all our trainings and our Associate Membership Program.

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1. Please complete the following for the training participant:

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2. Is someone other than the individual listed above is paying for this registration? if so, please complete this section.

Billing Name:

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3. Credentials (select all that apply):

LADC

CADC

LPC

LMFT

Case Manager

LCSW

Supervisor

Under Supervision/Candidate

Other (please specify)

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4. Please select your payment amount below:

Free: Associate Membership Program (go to www.EnvisionOK.com for details)

$75 = Full Registration

$67.50 = Early registration discount if registering 7 days prior to training

$71.25 = Individual loyalty discount if registering for 2nd training within 12 months or when registering for 2 or more on the same day.

$71.25/person = Group Discount for 2 or more attendees from the same office

Please list others attending from your office:

Question Title

5. Payment type:
Your seat is reserved when payment is received. Total participant size is limited to 8. No refunds unless cancelled 48 hours prior to training. Please understand because our participant size is small everyone is important.

I will go to www.EnvisionOK.com and pay using PayPal or a credit card.

Please send an invoice to my email so I can pay using PayPal or Credit Card

I will mail you a Check/money order

To pay by check or money order, send payment to:
Envision Counseling Associates LLC
P.O. Box 1762
Norman, OK 73070

If you select payment by credit card or Paypal you will receive an email invoice with payment instructions.

Thank you for your registration. Upon receipt of your payment you will receive a payment receipt which is your registration confirmation. Call Gail at 405-698-1762 or email register@envisioncounselingok.com if you have any questions.

Realities of Ethics is a series of trainings designed to assist counseling professionals in connecting therapeutic, moral, ethical and legal responsibilities in treating and preventing substance abuse and co-occurring mental health issues. Each training looks at a specific aspect of Ethics and/or Supervision through this lens and provides an opportunity to discuss typical challenges in a safe environment.

This training is designed to process a specific topic from the perspective of new counselors and their supervisors. We will review vignettes of actual issues we face in our work as we look at the therapeutic, moral, ethical and legal implications of the situations and possible responses.

Please join us!

Objectives and Schedule:
8:45 a.m. – 9:00 a.m. Registration
9:00 a.m. – 12:00 p.m.

- Identify and discuss the differences and similarities between therapeutic, moral, ethical and legal responsibilities we may encounter in our daily environments

- Identify and discuss potential challenges and concerns in resolving possible conflicts between therapeutic, moral, ethical and legal responsibilities

- Discuss resources available to assist counselors, supervisors and agencies in safe guarding client care with regard to potential conflicts between therapeutic, moral, ethical and legal responsibilities.

- Review relevant standards and guidelines for licensures/certifications and utilize these principles in guiding ethical decisions and practice as a therapist and supervisor.

Trainers: Gail Wilcox, LADC, LPC,

Training location: 1005 N Flood St, Suite 137, Norman, OK 73071

Directions to our office:
From I-35:
Take Robinson Street exit and go East to Flood Avenue. Turn right (south) on to Flood Avenue. After you pass Daylight Donuts (on the right) you should see a sign for Elite Plaza on the left. Turn left into the parking lot just past The Elite Plaza sign. Directly in front of you is "A Cut From Above." Turn left between the two buildings. We are in the building on the right (east). You should see a set of double glass doors set back (not flush with the front of the building) go through those doors and turn right.

From the East on Highway 9:
Turn north on 24th street East and follow the road until you get to Robinson Street and go West (left) to Flood Avenue. Turn left (north) on to Flood Avenue. After you pass Daylight Donuts (on the right) you should see a sign for Elite Plaza on the left. Turn left into the parking lot just past The Elite Plaza sign. Directly in front of you is "A Cut From Above." Turn left between the two buildings. We are in the building on the right (east). You should see a set of double glass doors set back (not flush with the front of the building) go through those doors and turn right.

From The west on Highway 9:
Turn north (left) on 24th street west. Turn right (east) onto Robinson Street and go East to Flood Avenue. Turn right (south) on to Flood Avenue. After you pass Daylight Donuts (on the right) you should see a sign for Elite Plaza on the left. Turn left into the parking lot just past The Elite Plaza sign. Directly in front of you is "A Cut From Above." Turn left between the two buildings. We are in the building on the right (east). You should see a set of double glass doors set back (not flush with the front of the building) go through those doors and turn right.

We are looking forward to seeing you at the training. The directions above may not match directions suggested by your GPS and may not be the fastest. I think they are the simplest.

Call me at 405-698-1762 if you need additional assistance.

PLEASE PRINT A COPY OF THIS REGISTRATION FOR YOUR RECORDS

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6. For Envision Counseling Associates LLC only:

Invoice sent:

Date

Receipt sent:

Date

Question Title

1. Please complete the following for the training participant:

Question Title

2. Is someone other than the individual listed above is paying for this registration? if so, please complete this section.

Question Title

3. Credentials (select all that apply):

Question Title

4. Please select your payment amount below:

Question Title

5. Payment type: Your seat is reserved when payment is received. Total participant size is limited to 8. No refunds unless cancelled 48 hours prior to training. Please understand because our participant size is small everyone is important.

Question Title

6. For Envision Counseling Associates LLC only:

5. Payment type:
Your seat is reserved when payment is received. Total participant size is limited to 8. No refunds unless cancelled 48 hours prior to training. Please understand because our participant size is small everyone is important.