Other Important Information and Resources

https://www.hca.wa.gov/health-care-services-supports/behavioral-health-recovery/mental-health-crisis-lines

NAMI

SMART Recovery 

Alcoholics Anonymous 

Co-Dependents Anonymous 

National Sexual Violence Resource Center 

Racism and Mental Health Resources 

Domestic Violence 

LGBTQIA+ Resources by County 

Wildwood Counseling, PLLC
Carrie Oliver, MSW, SUDP, LICSW Associate
Email: coliver@wildwoodcounseling.net
Phone: (503) 610-2467

Professional Disclosure Statement

This document is intended to provide you with information about my professional background, credentials, and important aspects of our therapeutic relationship. Please read it carefully and feel free to ask any questions at any time.

Professional Qualifications

I earned my Master of Social Work from Boise State University in 2020. I completed my Bachelor of Social Work at Eastern Washington University in 2015, followed by a Master’s Certificate in Addiction Counseling from Eastern Washington University in 2018.

I have worked in the field of substance use and mental health counseling since 2015. I have been a fully licensed Substance Use Disorder Professional (SUDP) since 2018 (License #CP60890135). I am also licensed as an Independent Clinical Social Worker (LICSW) in the state of Washington (License #LW61657528) since 2026.

Scope of Services

I provide mental health counseling and substance use disorder treatment for individuals. My practice focuses on supporting clients experiencing co-occurring mental health and substance use concerns (dual diagnosis), as well as related emotional and behavioral challenges.

Fees and Payment

My fee for private pay clients is $130 for a 53-minute session. Payment is due at the time of service.

If you need to cancel or reschedule an appointment, I ask that you provide at least 24 hours’ notice. Appointments canceled with less than 24 hours’ notice, as well as missed appointments (no-shows), will be charged the full session fee of $130.

Please ask if you have any questions about fees or payment policies.

Confidentiality

All information shared in therapy is confidential and will not be disclosed without your written consent, except as required or permitted by law. Exceptions to confidentiality include, but are not limited to:

• Suspected abuse or neglect of a child, dependent adult, or vulnerable adult

• If there is a risk of serious harm to yourself or others

• If records are required by a valid court order or subpoena

Use of Technology and Artificial Intelligence (AI)

Wildwood Counseling may use secure technology tools, including artificial intelligence (AI)-assisted documentation, to support clinical recordkeeping. These tools are used to improve accuracy and efficiency in documenting sessions.

Any AI-supported tools used are designed to comply with privacy and security standards, and reasonable steps are taken to protect your confidentiality. No information is sold, shared, or used outside of Wildwood Counseling. AI tools do not make clinical decisions or replace professional judgment.

Telehealth Services

Telehealth (video or phone sessions) services are provided in accordance with Washington State laws and professional standards.

By participating in telehealth, you acknowledge and understand:

• There may be risks to confidentiality due to the use of technology

• Technical issues may occur that impact the quality of the session

• You are responsible for being in a private location during sessions

Telehealth services are only provided to clients physically located in Washington State at the time of the session, in compliance with state licensing laws.

Client Rights

As a client, you have the right to:

• Ask questions about your treatment

• Refuse or discontinue treatment at any time

• Request a referral to another provider

• Receive a copy of this disclosure statement

Complaints

If you have concerns about my professional conduct, you may contact the Washington State Department of Health, which regulates licensed mental health professionals.

Emergency Services

Wildwood Counseling does not provide 24-hour crisis services. If you are experiencing an emergency, please call 911 or go to your nearest emergency room. You may also contact the 988 Suicide & Crisis Lifeline by dialing or texting 988.

STANDARD NOTICE

“Right to Receive a Good Faith Estimate of Expected Charges”

Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.  You can also ask your healthcare provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or service.  If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.  Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (360) 947-2847.

www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html#:~:text=The%20Privacy%20Rule,%20a%20Federal,electronic,%20written,%20or%20oral. 

Privacy Policy for Wildwood Counseling

At Wildwood Counseling, your privacy is taken seriously. This policy explains how information submitted through the contact form on this website is collected, used, and protected.

Information Collection and Use
When you submit information through the contact form, you may be asked to provide personal details such as your name, email address, phone number, and any message you choose to include. This information is used solely for the purpose of responding to your inquiry and providing information about services offered by Wildwood Counseling.

Confidentiality and Data Sharing
All information submitted through the contact form will remain confidential. Wildwood Counseling does not sell, trade, rent, or share your personal information with any third parties. Your information will only be accessed and used by Wildwood Counseling for communication related to your inquiry.

Data Security
Reasonable measures are taken to protect the information you submit through the website. However, please note that no method of transmission over the internet is completely secure, and submitting information online carries some inherent risk.

Limitations of Contact Forms
Submitting a contact form does not establish a therapist-client relationship. Please avoid including highly sensitive or urgent information in your message. If you are experiencing an emergency, please contact local emergency services or call 911.

Your Consent
By using this website and submitting the contact form, you consent to the terms of this privacy policy.

Policy Updates
Wildwood Counseling may update this policy from time to time. Any changes will be posted on this page with an updated effective date.

Contact
If you have any questions about this privacy policy, please contact Wildwood Counseling directly through the website.