Client Communication & Use Agreement

Effective Date: April 8, 2026

Overview
This agreement outlines expectations for clients engaging with services provided by Shauna Bigby, DNP, PMHNP-BC.

Services
Services may include:
Therapy (including CBT)
Medication management
Mindfulness-based interventions
Life coaching
Care coordination
Services are available via telehealth and in-person for individuals 18 years and older.

Establishing Care
Submitting a form, email, or inquiry does not establish care. Care begins only after an intake appointment and mutual agreement to proceed.

Payment & Insurance
This is a self-pay practice, and payment is due at the time of service. Insurance is not accepted.
A superbill can be provided upon request for potential reimbursement through insurance.

Scheduling & Cancellation Policy
Appointments are scheduled online.
A minimum of 48 hours’ notice is required for cancellations
Missed or late-cancelled appointments may incur a $50 fee

Telehealth Services
Services may be provided via telehealth. By participating in telehealth services, you acknowledge the potential risks and limitations of virtual care, including issues related to technology and confidentiality.

Communication & Response Time
Messages will be responded to within 48–72 hours during business days.
This practice does not provide emergency or crisis services. If you are in crisis, call 911, go to your nearest emergency room, or contact 988.

Website & Communication Use
Contact forms collect basic information (name, email, message only). Please do not include sensitive health information.
Email and website communication are not guaranteed to be secure.

Client Responsibilities
Clients agree to:
Provide accurate and complete information
Attend scheduled appointments
Communicate respectfully
Participate actively in their care

Limitations of Care
Services are intended to support mental health and well-being but do not replace emergency or crisis care. Outcomes may vary.
No Guarantee of Services
Engaging with this practice does not guarantee specific results or outcomes.

Agreement
By scheduling services or using this website, you acknowledge that you have read and agree to this Client Use Agreement.