Intake
New client intake.
To support an organized consultation process and meet applicable care and compliance requirements, new clients may be asked to complete intake information before beginning a program.
Begin intake
Our secure intake pathway is being connected. In the meantime, please reach out directly and we will send the current intake form.
Do not submit emergency information through this form. If you are experiencing a medical emergency, contact emergency services.
The information provided by Leigh Vitality is for educational and informational purposes and is not intended to diagnose, treat, cure, or prevent any disease. Medical decisions, prescriptions, and treatment eligibility must be determined by appropriately licensed healthcare professionals. If you are experiencing a medical emergency, call emergency services immediately.