Call Me at: 305-251-8609 or email me directly by
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CONSENT FOR TREATMENT - COUPLES
New Patient Information
|
Policies/Consent Form (Couples)
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Policies/Consent Form (Individual)
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Medical Log Form
PLEASE
CLICK HERE
TO OPEN THE CONSENT FORM FOR COUPLES IN PRINTABLE PDF FORMAT
For more information or to make an appointment, please call 305-251-8609 or email me by
Clicking Here
Home Page
|
My Journey
|
What is Imago?
|
Individual Therapy
|
Couples Counseling
Printable Forms
|
Self-Assessment Tests
|
Contact Me
|
Video Page
|
Articles
|
Site Map
Dita Teitelbaum, MSW LCSW
14440 SW 80th Avenue
Miami, FL 33158
Phone: 305-251-8609
Fax: 305-251-8609