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Please print and fill out all forms below prior to your first appointment

Telehealth Forms

Demographics Mastersheet

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Disclosure Statement

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Intake Appointment Form

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Notice Form

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Acknowledgement of Receipt of Notice of Privacy Practices

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Insurance Contracts

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Electronics Communication Policy

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Burns Anxiety Inventory

Emergency Plan Template

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Telehealth Clinical And Technical Assessment

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© 2020 Dr. Shawn Horn, PsyD- All rights reserved .

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