New Client Forms

Attached are the forms which we’ll need to begin the therapy process. Please fill out, sign and return:
Also please text or send me a copy of your insurance card if you have Cigna insurance
ONLY. I do not bill any insurance other than Cigna.

Informed ConsentAcknowledgement of Receipt of Privacy PracticesIntake InformationPayment AuthorizationConsent for Tele-medicine

Please read the Privacy Practices which can also be downloaded for you to keep.

Privacy Practices

Counseling sessions are done via telehealth from the comfort of your home. Access can be simply achieved with a smartphone, tablet or computer. Leanne will walk you through the simple process. She'll do her best to return all calls, texts and emails by the next business day.

Phone & Email:

Email: leannehart@mac.com
Phone: (714) 514-3779

Hours of Operation:

Tuesday and Thursday 9:00 A. M. to 6:00 P.M.
Wednesday 2:00 P.M. to 6:00 P.M.