If you have already scheduled a consultation or are an existing client, click the following links to fill out your Health History or Revisit Form.
For your first session with me, please download and complete the appropriate Health History form below.
Women’s Health History form
LailaHeidema.com Women’s Health History
Men’s Health History form
LailaHeidema.com Men’s Health History form
Laila Heidema – Revisit Form
Instructions: right click (with your mouse) to save as…then fill out the form and email it to me.