ADULT CLIENTS: For your convenience, please print and complete the following forms prior to your first visit with Dr. Susan Mendelsohn.

ADOLESCENT CLIENTS (Under age 18): Please print and complete the forms below and bring with you upon your initial appointment with Dr. Mendelsohn.

MARRIAGE AND RELATIONSHIP COUNSELING: Please print and complete the forms below and bring with you upon your initial appointment with Dr. Mendelsohn.

EMOTIONAL SUPPORT ANIMAL (ESA): Please print and complete the forms below and bring with you upon your initial appointment with Dr. Mendelsohn.

 

 

 

Address

Geneva Building:
1919 NE 45th Street,
Fort Lauderdale, FL 33308
(Suite 218)

Telephone:
954.294.7036

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