Telemedicine Consent Forms

Please click on the link next to your provider’s name below:

Rebecca Aloni, LCPC – Link

Courtney Andrews, M.S. – Link

Stephanie Bathurst, LCMFT – Link

Maureen Betz, LCSW-C – Link

Levi Breuer, Psy.D. – Link

Alexandra Christiansen, M.S. – Link 

Bill Clare, LCSW-C – Link

Andrew Dauler, LCMFT – Link

Katherine DeBroeck, M.S. – Link

Jessica Diez, LCPC – Link

Amanda Garratt, LCSW-C – Link

Eileen Griffin, Psy.D. – Link

Lauren Grossman, Psy.D. – Link

Geoffrey Hunt, LCSW-C – Link

Preetal Karecha, LCPC – Link

Denise Katz, LCSW-C – Link

Kara Koenig, Psy.D. – Link

Jennifer Kotley, LCSW-C – Link

Laura Krause, LCSW-C – Link

Sabrina Krum, Psy.D. – Link

Tiffany Land, LCPC – Link

Victoria Lee, Ph.D. – Link

Ariella Lipkin, Psy.D. – Link

Sally Mays, Ph.D. – Link

Maggy McGuire, M.S. – Link

Eric Millman, LCPC – Link

Julie Murphy, Ph.D. – Link

Thanusha Neelapareddy, M.S. – Link

Ariel Nickie, Psy.D. – Link

Merrilee Peske, LCMFT – Link

Shauna Pollard, Ph.D. – Link

Lateffa Robinson, Ph.D. – Link

Danielle Rooney, M.S. – Link

James Rutledge, Psy.D. – Link

Elise Smithmyer, LCSW-C – Link

Paige Victorine, M.S. – Link

Neville Williams, Ph.D. – Link

Penny Zimmerman, LCSW-C  – Link