Patient Forms
General Health History & Informed Consent: Please fill out prior to your first appointment; if possible fax to 480.452.0739 or send as an attachment to info@drleighlewis.com.
Records Release Please fill out if you have records from a previous clinic
Perinatal mood issues Please fill out if you are coming in after having a baby
General mood disorder screening 1 and 2: Please fill out both of these if you are coming in for mood issues
Hormone cycle symptoms tracker Please complete if you think your symptoms are affected by your menstrual cycle.