Intake Forms

Please complete the appropriate form before your initial appointment. You may complete the PDF electronically, save and e-mail it to [email protected] (strictly confidential). Alternatively, you may print the forms and bring them completed to your initial (1 hour) visit.

Your time and honesty in completing the forms is appreciated. By thoroughly completing these forms, I can better understand you as a person and help you meet your goals.

If you are not able to print the forms, please arrive 15-20 minutes early to complete them before your visit. 

Thank you!

Dr. Leigha

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