Before the performance of services, a licensed marital and family therapist shall ensure that the client was furnished a copy of a professional disclosure statement that contained

(1) the name, title, business address, and business telephone number of the marital and family therapist;
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(2) a description of the formal professional education of the marital and family therapist, including the institutions attended and the degrees received from the institutions;
(3) the marital and family therapist’s areas of specialization and the services available;
(4) the marital and family therapist’s fee schedule listed by type of service or hourly rate;
(5) a description of the exception to confidentiality contained in Alaska Stat. § 08.63.200(a)(6); and
(6) at the bottom of the first page of the statement, the following sentence:

“This information is required by the Board of Marital and Family Therapy, which regulates all licensed marital and family therapists,” followed by the name, address, and telephone number of the board’s office.

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