Professional Disclosure Statement

Pamela Taite, MS, NCC, Registered LPC Intern

She/Her Pronouns

Portland Mental Health & Wellness

1785 NE Sandy Blvd, Suite 270

Portland, OR 97232

503.226.3021

pamela.taite@portlandmh.com

Philosophy and Approach

I am passionate about every individual, relationship, and family’s resilience and their ability to change and
grow. My approach is rooted in Gestalt therapy with a critical lens in Anti-Oppression, and Intersectional
Feminism. I use awareness, authenticity, humor, and compassion, to support those who are: marginalized
by dominant cultural, coming to terms with painful experiences, changing patterned behaviors, clarifying
larger life goals, and developing the skills necessary to establish and maintain more satisfying
relationships.

Formal Education and Training

I obtained a Masters Degree in Counseling with a focus on relationship and family therapy from Portland
State University. My major coursework has included: multicultural counseling, group dynamics, child and
family development, and advanced systemic perspectives. Additionally, I have sought training and
education on anti-oppressive counseling for LGBTQ+ communities, trauma informed services, and
alternative families and relationships. I am also a member of Gestalt Training Center of Seattle where I
am trained in individual and couples therapy from a contemporary Gestalt perspective.

Registered Intern Status

I am a registered intern with the Oregon Board of Licensed Professional Counselors and Therapists. As
an intern I will abide by the American Counseling Association Code of Ethics and the Oregon Board of
Professional Counselors and Therapists. More information can be found on the board’s website:
www.oregon.gov/OBLPCT​.

I am under the ongoing supervision of Marie Cacao, LMFT, CADC1, I will be happy to explain that
process if you would like more information. Marie Cacao can be contacted at ​(503) 985-8377

Payment

Payments may be made by cash, check, or debit/credit card. Payment will be collected at the start of
session. Portland Mental Health & Wellness works with an online patient billing system called Hint Health.
Hint Health will collect your payment information and store it securely. We will ask you to pay for any out
of pocket costs with a check, cash, or card at the time of your appointment and will only charge your
stored payment information in the event of a no-show fee, deductible or overdue balance older than 10
business days. Hint Health provides the option of authorizing an ACH withdrawal from a checking
account or the use of a debit or credit card. If you choose to use a debit or credit card, you will be charged
a 3% service fee for each transaction.

Fees

Please reference the Portland Mental Health and Wellness Fee Agreement and Disclosure Form.

​Scheduling Policy

Most psychotherapy appointments last approximately 53-55 minutes. During established treatment, a
patient reserves one or more appointment hours per week with their therapist. If you are late, your
appointment will still end on time in order to maintain the schedule for other patients. There is a charge of
$75 for missed sessions irrespective of the reason for the absence, except in cases when you are able to
reschedule for an available spot during the same week of the cancelled appointment. Insurance will not
pay this fee. This fee does not apply to patients using Medicaid, OHP or HealthShare.

For example, if your appointment is regularly on Mondays at 10AM:

● If you know during your appointment that the following Monday you will not be able to
make your next appointment, you can cancel without paying the cancellation fee.
● From Tuesday to the next Monday, if you have to cancel, you can contact your therapist
to see if it is possible to reschedule within the same Tuesday to Monday period.
● If you are not able to reschedule, you will be responsible to pay the $75 fee for the
cancelled appointment. Insurance does not cover this fee.
● If your therapist is able to find someone else to take your regular appointment that week,
you will not be charged the fee for the cancellation.

An additional exception is made for extended vacations or other mutually agreed upon circumstances.
We do not have a 24 or 48 hour cancellation policy for psychotherapy.

As a client of an Oregon Registered Intern you have the following rights​:

● To expect that a licensee has met the minimal qualifications of training and experience required
by state law:
● To examine public records maintained by the Board and to have the Board confirm credentials of
a licensee;
● To obtain a copy of the Code of Ethics;
● To report complaints to the Board;
● To be informed of the cost of professional services before receiving the services;
● To be assured of privacy and confidentiality while receiving services as defined by rule and law,
including the following exceptions: 1) Reporting suspected child abuse; 2) Reporting imminent
danger to client or others; 3) Reporting information required in court proceedings or by client’s
insurance company, or other relevant agencies; 4) Providing information concerning licensee
case consultation or supervision; and 5) Defending claims brought by client against licensee;
● To be free from discrimination because of age, color, culture, disability, ethnicity, national origin,
gender identity, gender expression, sex, race, religion, sexual orientation, marital status, or
socioeconomic status.
​If you need any further information or clarification on any of the above-mentioned information,
please don’t hesitate to contact me.

You may also contact the Board of Licensed Professional Counselors and Therapists at ​3218 Pringle Rd
SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499

Email: lpct.board@state.or.us Website: www.oregon.gov/OBLPCT