top of page

Forms

Nobody likes forms but unfortunately there seem to be more and more being adopted as medical laws and consents are changing. I hope that you will find these forms easily accessible and note that they can be filled out and signed digitally so that at least we can all save some trees. Thank you for taking the time to fill these out prior to your visit. 

Akiva Daum, MD FAPA is the owner and Psychiatrist at Reclaim Mental Health, LLC located at
3275 W Hillsboro Blvd, Suite 300D, Deerfield Beach, Florida 33442
Phone Number is (954) 451-2592; Fax Number is (888) 490-0705

**Telepsychiatry Available**

  • Facebook
  • YouTube
0gdww_topdoctor_2020.png
bottom of page