Forms

The forms below are necessary for Teletherapy with Shaun. To save time, please download and complete them before your first session. Each form will open in a new window for your conveniance. 

• No Surprise Act and Good Faith Estimate
• Agreement for Telehealth Services
• Client Questionnaire
• Client Privacy Form
• Shaun’s Disclosure Statement
• Electronic Media Waiver
• Fees and Policies
• Mandatory Disclosure & Confidentiality
• Release of Information Form
• Credit Card Authorization Form