For more information, please email your name, phone number and a brief message to:
info@brainwellnessandneurofeedback.com.
Use the links below to download the appropriate client intake forms. Please complete, scan and email to info@brainwellnessandneurofeedback.com and also mail a copy to:
Dr. Mary Lee Esty
Brain Wellness and Neurofeedback
1711 South Pearl Street
Denver, CO 80210
New Client Intake Form
New Client Intake Form – Veterans