New Client Intake Form
Thank you for taking the time to complete the New Client Wellness Form. The information shared below helps support a more personalized and thoughtful consultation experience focused on your wellness goals, lifestyle, and overall well-being.
New Client Form
Your information is kept confidential and used solely for wellness support purposes through Light & Leaf Wellness.
Once your appointment with Laura is confirmed, please complete this form at least 48 hours prior to appointment.
DISCLAIMER: This form is for informational purposes only. I am not a licensed medical doctor and do not diagnose or prescribe. Please continue care with your primary healthcare provider for all medical needs.
What Happens Next
Once your form has been reviewed, additional consultation details and scheduling information will be provided. Please allow 1–3 business days for follow-up communication.