2022 Colorado Code
Title 12 - Professions and Occupations
Article 245 - Mental Health
Part 2 - General Provisions
§ 12-245-216. Mandatory Disclosure of Information to Clients

1. Except as otherwise provided in subsection (4) of this section, every licensee, registrant, or certificate holder shall provide the following information in writing to each client during the initial client contact:
   1. The name, business address, and business phone number of the licensee, registrant, or certificate holder;
   2. 1. An explanation of the levels of regulation applicable to mental health professionals under this article 245 and the differences between licensure, registration, and certification, including the educational, experience, and training requirements applicable to the particular level of regulation; and
      2. A listing of any degrees, credentials, certifications, registrations, and licenses held or completed by the licensee, registrant, or certificate holder, including the education, experience, and training the licensee, registrant, or certificate holder was required to satisfy in order to complete the degree, credential, certification, registration, or license;

   3. A statement indicating that the practice of licensed or registered persons in the field of psychotherapy is regulated by the division, and an address and telephone number for the board that regulates the licensee, registrant, or certificate holder;
   4. A statement indicating that:
      1. A client is entitled to receive information about the methods of therapy, the techniques used, the duration of therapy, if known, and the fee structure;
      2. The client may seek a second opinion from another therapist or may terminate therapy at any time;
      3. In a professional relationship, sexual intimacy is never appropriate and should be reported to the board that licenses, registers, or certifies the licensee, registrant, or certificate holder;
      4. The information provided by the client during therapy sessions is legally confidential in the case of individuals licensed, certified, or registered pursuant to this article 245, except as provided in section 12-245-220 and except for certain legal exceptions that will be identified by the licensee, registrant, or certificate holder should any such situation arise during therapy;

   5. If the mental health professional is an unlicensed psychotherapist, a statement indicating that an unlicensed psychotherapist is a psychotherapist listed in the state's database and is authorized by law to practice psychotherapy in Colorado but is not licensed by the state and is not required to satisfy any standardized educational or testing requirements to obtain a registration from the state; and
   6. A statement indicating that a client's records may not be maintained after seven years pursuant to section 12-245-226 (1)(a)(II)(A).

2. If the client is a child who is consenting to mental health services pursuant to section 27-65-103, disclosure shall be made to the child. If the client is a child whose parent or legal guardian is consenting to mental health services, disclosure shall be made to the parent or legal guardian.
3. In residential, institutional, or other settings where psychotherapy may be provided by multiple providers, disclosure shall be made by the primary therapist. The institution shall also provide a statement to the patient containing the information in subsections (1)(c) and (1)(d) of this section and a statement that the patient is entitled to the information listed in subsections (1)(a) and (1)(b) of this section concerning any psychotherapist in the employ of the institution who is providing psychotherapy services to the patient.
4. The disclosure of information required by subsection (1) of this section is not required when psychotherapy is being administered in any of the following circumstances:
   1. In an emergency;
   2. Pursuant to a court order or involuntary procedures pursuant to sections 27-65-105 to 27-65-109;
   3. The sole purpose of the professional relationship is for forensic evaluation;
   4. The client is in the physical custody of either the department of corrections or the department of human services and such department has developed an alternative program to provide similar information to the client and the program has been established through rule;
   5. The client is incapable of understanding the disclosure and has no guardian to whom disclosure can be made;
   6. By a social worker practicing in a hospital that is licensed or certified under section 25-1.5-103 (1)(a)(I) or (1)(a)(II);
   7. By a person licensed or certified pursuant to this article 245 or by an unlicensed psychotherapist practicing in a hospital that is licensed or certified under section 25-1.5-103 (1)(a)(I) or (1)(a)(II).

5. If the client has no written language or is unable to read, an oral explanation shall accompany the written copy.
6. Unless the client, parent, or guardian is unable to write, or refuses or objects, the client, parent, or guardian shall sign the disclosure form required by this section not later than the second visit with the psychotherapist.

Source: L. 2019: Entire title R&RE with relocations, (HB 19-1172), ch. 136, p. 1233, § 1, effective October 1. L. 2020: (1)(d)(IV), (1)(e), and (4)(g) amended and (1)(f) added, (HB 20-1206), ch. 304, pp. 1527, 1547, §§ 10, 51, effective July 14.

1. This section is similar to former § 12-43-214 as it existed prior to 2019.
2. 1. Subsection (1)(d)(IV) was amended in section 51 of HB 20-1206. Those amendments were superseded by the amendment of subsection (1)(d)(IV) in section 10 of HB 20-1206.
   2. Amendments to subsection (1)(e) by sections 10 and 51 of HB 20-1206 were harmonized.