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CONSENT FOR TREATMENT - MEDICAL LOG





PLEASE CLICK HERE TO OPEN THE MEDICAL LOG FORM IN PRINTABLE PDF FORMAT




For more information or to make an appointment, please call 305-281-6323 or email me by Clicking Here




Dita Teitelbaum, MSW LCSW
14440 SW 80th Avenue
Miami, FL 33158
Phone: 305-281-6323
Fax: 305-253-2110

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