Mental Health Advocates
Mental Health Advocates, Inc. 200 West Palmetto Park Road Suite 302 Boca Raton, Florida 33432 Telephone: 561-368-8430 Facsimile: 561-362-5575 email: brucesaltz@aol.com

contact us

For more information, please call us at 561-368-8430, email Dr. Saltz at brucesaltz@aol.com. Or print this form and fax it to us at 561-362-5575.


Name
Address
City / State / Zip
Home phone
Email


Consumer
I am interested in treatment for:
Myself    Marriage    Family member    Other (write in below)
My biggest concern is...
The best time to call me is
The number to use is


Professional
I am a (choose one):
Physician    Psychologist   Nurse   Social Worker    Other (write in below)
I am interested in (select all that apply):
Referring a patient for treatment.
Videotape orders.
Reliability training.
Use of the Extrapyramidal Side Effect Rating Scale (ESRS) or Abnormal Involuntary Movement Disorder Scale (AIMS) for pharmaceutical company multicenter trials.
Clinical trials.
The best time to call me is
The number to use is
 




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Psychiatrist Dr. Bruce Saltz, MD, and Psychotherapists Dr. Tina Goodin, PhD, and Dr. Dawn Polen, PhD.
Serving South Florida and all surrounding areas.
Mental Health Advocates, Inc. | 4800 North Federal Highway | Suite E-102 | Boca Raton, FL 33431 | 561-368-8430
www.mentalhealthadvocates.com

© 2011 Mental Health Advocates, Inc. All Rights Reserved.