For more information, please email your name, phone number and a brief message to:

info@brainwellnessandneurofeedback.com.

If you have spoken with Dr. Esty and she has requested that you submit information prior to setting an appointment, please 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

                      3955 E. Exposition Ave

Suite 100

Denver, CO 80209

New Client Intake Form

New Client Intake Form – Veterans