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The Practice
Dr. Elizabeth Ferguson, MD, PhD
Melissa C. Karrh, MSN, CRNP, PMHNP-BC
Dr. Robert (Bert) Pitts
Dr. Lorne Dann
Dr. Dana Flynn Schneider
Dr. Caroline Baker
JoAnn Huddleston, D.Min., LPC, NCC, NCSC
Lee Gaston, LCSW
David E. Kilmer, LCSW, PIP
Erin B. Jones, LPC, NCC
Psychologists:
Dr. Lorne Dann
Dr. Robert (Bert) Pitts
Dr. Dana Flynn Schneider
Psychiatric Nurse Practitioner:
Melissa C. Karrh, MSN, CRNP, PMHNP-BC
Counselors:
Dr. Caroline Baker
Jo Ann Huddleston, LPC, D.Min.
Daniel Seigel, LMFT
W. Lee Gaston, LCSW
David E. Kilmer, LCSW, PIP
Erin B. Jones, LPC, NCC
Intake Forms:
Adult Intake Form
Child Intake Form
Ms. Karrh additional intake form
Dr. Flynn-Schneider Adult Intake Form
Dr. Flynn-Schneider Child Intake Form
Dr. Ferguson Adult Intake Form
Dr. Ferguson Child/Adolescent Intake Form
Release of Information Form
Telehealth Consent Form
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Child Intake Form
Dr Ferguson’s Adult Medical History Form
Dr Ferguson’s Child/Adolescent Medical History Form
Ms. Karrh’s Medical History Form
Dr. Flynn Schneider’s Adult History Form
Dr. Flynn Schneider’s Child History Form
Telehealth Consent Form
Release of Information Form
Therapist-Client Agreement and HIPAA Statement
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