Dr. Trish Leigh Contact Form

Are you struggling in your life situation and want to work directly as a client with Dr. Trish Leigh? 

Please complete this form to help us process the high volume of requests that we receive. Once submitted, our support specialists will get in touch with you with in 24-48 hours.  

Email *
Date *
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First and Last Name *
What Is Best Number To Reach You At?  (only used to communicate for this request) *
What time of day is the best time to call?
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Who Is This For? *
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What Services Are You Interested in?
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What Best Describes What You Need Help With? *
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Recommendations:
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Additional Information: If you could briefly tell us what your challenges are, it would help us determine which program would be the best fit for your needs.
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Thank you for taking the time to complete the contact form. Our support specialists will get in touch with you with in 24-48 hours. 

Note:  Our hours of operations are Monday - Friday, 8 am - 5 pm (EST). 
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