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Dr. Courtney Schuneman
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Forms

Prior to your first session with Dr. Schuneman:

1. Please print, fill out, and email the following forms to Dr. Schuneman:

  • Consent for Treatment
  • New Patient Intake Form
  • Telemedicine Consent Form

2. And please review the following form:

  • Privacy Practices/HIPAA Notice

3. Additionally, if you would like Dr. Schuneman to have contact with a previous provider, physician, or school please print, fill out,  and email the form to Dr. Schuneman:

  • Release of Information

Contact Information:

Courtney Schuneman, Psy.D.
Clinical Psychologist
(520) 477-CARE (2273)
7624 N. La Cholla Blvd.
Tucson, AZ 85741

Dr. Schuneman specializes with children (8+), adolescents, and adults struggling with the following issues:

• Trauma
• Grief and loss
• Anxiety
• Depression
• LGBTQ+ issues
• Post-partum depression
• Infertility
• Family conflict
• ADHD
• Behavioral problems
• Autism spectrum disorders

For further information please click on:

  • Welcome
  • About
  • Services
  • Fees
  • Forms
  • Resources
  • Contact
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