Important Forms to Download

Please download and fill out the following forms prior to your first visit.  These files contain the terms and conditions of treatment as well as fee structure and consent forms.  If you have any questions or difficulty with the forms, please contact us for assistance.  

Intake Packet  
Policy and Consent forms  
Release of Information Form
 
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Contact Us

To contact Dr. Leicken or to request an appointment you may reach him below:

Address:
8124 E Cactus Rd #410
Scottsdale, AZ 85260
Telephone:
602-910-4050
Fax:
480-885-1985

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