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Marshall Teitelbaum, M.D.
Board Certified
Child, Adolescent, Adult Psychiatry
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(561) 630-8530
Fax: (561) 630-8531
Please print the appropriate form.
Fill out and mail or fax us your completed form.
We must have it 48 business hours
before your appointment.
New Patient: Adult
New Patient: 13-17 y.o
New Patient: Child
18-year-old paperwork
Authorization to Release
Good Faith Estimate
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