Medical History Form (PDF)
Once you have made your appointment, you may print and complete the linked
file to speed up your first visit. Either bring the completed form with
you to the office, or FAX the form in advance to 662-323-2382.
Consent to Treatment (PDF)
You may want to read the informed consent form before your visit, and
ask Dr. Leach if you have any questions. In addition, after your examination
he will discuss your case with you further, and ask for your permission
before giving you any treatment.
HIPAA (PDF)
This is our description of privacy practices followed at our office. Feel
free to read this form now and bring a signed copy with you when you come
for your first visit. However, if you have questions be sure they are
answered before you sign the form.
HIPAA Part II (PDF)
This brief form should be filled out with the names of your primary care
physician, spouse and any family members that we may contact regarding your
chiropractic care here, signed and dated in your own handwriting.