Jaclyn E. Miller, PsyD

Licensed Psychologist

7035 Campus Drive, Suite 906, Colorado Springs, CO 80920•(716) 412-2781•drjaclynmiller@gmail.com
Colorado Mandatory Disclosure

DISCLOSURE STATEMENT

Jaclyn E. Miller, PsyD

Doctor of Psychology (PsyD) in Clinical Psychology, William James College 2014

Licensed Psychologist in Colorado #4315

APA Accredited Pre-doctoral Internship at Community Reach Center

1

Regulation of Psychotherapy Practice & Complaint Contacts

The practice of registered, certified or licensed persons in the field of psychotherapy is regulated by the Mental Health Licensing Section of the Division of Registrations. Questions and complaints regarding addiction counselors or other licensees may be addressed to:

Board of Addiction Counselor Examiners

1560 Broadway, Ste. 1350

Denver, CO 80202

Phone: 303-894-7800

Division of Behavioral Health

Colorado Department of Human Services

3824 W. Princeton Circle

Denver, CO 80236

Phone: 303-866-7400

The Division of Behavioral Health has the general responsibility for regulating practices of licensed substance use disorder treatment programs in the State of Colorado.

2

Regulatory Requirements Applicable to Mental Health Professionals in Colorado

The regulatory requirements applicable to mental health professionals under Colorado law (C.R.S. Title 12, Article 245) are as follows:

  • Registered Psychotherapist: A registered psychotherapist is a psychotherapist listed in the State’s database and is authorized by law to practice psychotherapy in Colorado, but is not licensed or certified by the State and is not required to satisfy any standardized educational or testing requirements.
  • Certified Addiction Counselor I (CAC I): Must be a high school graduate or the equivalent, complete required training hours and 1,000 hours of clinically supervised work experience.
  • Certified Addiction Counselor II (CAC II): Must meet the CAC I requirements, complete additional training hours above the CAC I and 2,000 hours of clinically supervised work experience.
  • Certified Addiction Counselor III (CAC III): Must have a Bachelor’s degree in the behavioral health sciences or field; complete additional training above the CAC II, and 2,000 hours of clinically supervised work experience.
  • Licensed Addiction Counselor (LAC): Must have a clinical Master’s degree, meet the CAC III requirements, and pass a national examination in addiction treatment.
  • Licensed Social Worker (LSW): Must hold a Master’s degree in social work.
  • Psychologist Candidate, Marriage and Family Candidate, and Licensed Professional Counselor Candidate: Must hold the necessary licensing degree and be in the process of completing the required supervision for licensure.
  • Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), and Licensed Professional Counselor (LPC): Must hold a master’s degree in their profession and have two years of post-masters supervision.
  • Licensed Psychologist (PsyD / PhD): Must hold a doctorate degree in psychology and have one year of post-doctoral supervision.✓ Dr. Jaclyn E. Miller's Credential Level

Client Rights & Professional Boundaries

Right to Information

You are entitled to receive information about methods of therapy, the techniques used, the duration of therapy (if known), and fee structure. You may seek a second opinion from another therapist or terminate therapy at any time.

Confidentiality & Privileged Communications

In a professional relationship, sexual intimacy is never appropriate and should be reported to the licensing board. The information provided by the client during therapy sessions is legally confidential in the case of licensed or registered practitioners, except as provided by Colorado Revised Statutes (C.R.S. Title 12, Article 245) or other applicable laws.

Practice Entity: Jaclyn E. Miller LLC • 7035 Campus Drive, Suite 906, Colorado Springs, CO 80920 • Phone: (716) 412-2781 • Email: drjaclynmiller@gmail.com

Colorado State Licensed Psychologist #4315. In accordance with Colorado law, a copy of this disclosure statement is provided to clients at the onset of psychotherapy.

Call (716) 412-2781