Leigh Ann Lipscomb
Leigh Ann Lipscomb
This information will help us help you. Please answer as accurately and thoroughly as possible, and at least 24 hours before your session so that we have a chance to read your responses before your appointment.
Phone Number (format 5309999999)
Whom may we thank for referring you? (Leave blank if no referral.)
Sometimes we send reminders of your appointment. How would you prefer to receive these reminders?
Do not remind me
Which of these appointment times would generally work for you? (select all that work)
How would you like to have your session?
In person in Chico
Online (likely via Zoom)
On the phone
What is your age? How is your health?
What would you like help with during your session? How long have you had this problem? When did it start?
Is there anything else you'd like for us to know before your session?
Your checkmark (above) and electronic signature (below) indicates that you have read and understood the following: Leigh Ann Lipscomb is a Certified Resonance Repatterning Practitioner. Resonance Repatterning is not licensed by the state of California. Sessions with Leigh Ann Lipscomb are not to be substituted for care from your primary medical provider or a licensed psychotherapist. Leigh Ann Lipscomb has a Ph.D. in Chemistry and is not a medical doctor psychologist psychiatrist or psychotherapist of any kind. All sessions are completely confidential. Payment for your session is due at or before the start of your appointment. The fee for missed appointments is the same as that of regular appointments unless they are canceled more than 24 hours before the start of the appointment (in this case there is no charge). Any concerns should be brought to the attention of Leigh Ann Lipscomb. Disagreements settled via conversation or mediation.
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