Intake Forms

Craig Russell, M.Ed, LPC

Mark Viator, LCSW

Hayley Kimble, LCSW

Release and Telemedicine Consent Forms

Release of Information (All Providers)

Telemedicine Consent: Dr. John Abraham, D.O.

Telemedicine Consent: Michael Ross, M.D.

Telemedicine Consent: Kelly Campbell, M.D.