Get in touch.

New patients inquiring about a psychiatric consultation, please fill out the confidential form below. Dr. Legha or her administrative expert will respond shortly. Please note that Dr. Legha provides the majority of services remotely. She is able to see a small number of clients in person in West LA. She also offers a more intensive in-home service.

Name of potential patient

First Name

Last Name

Date of birth of potential patient (MM/DD/YY)

Name of parent or guardian if patient is a minor.

First Name

Last Name

Phone Number

How did you hear about Dr. Legha?

In a few words what is the reason for making appointment?

Please provide some dates and times when you are available to speak. Dr. Legha's practice manager will reach out to you to provide an overview of services and to schedule the 15-minute consultation with Dr. Legha.

Please indicate in which state the client currently resides. (Note the client must physically be in a state where Dr. Legha is licensed. Dr. Legha is currently licensed in CA, CO, NY, and NJ with plans to expand in 2024.)

What is the best way for Dr. Legha's practice manager to reach you? Email, text, or call?

NOTICE TO PATIENTS
Medical doctors are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov,
email: licensecheck@mbc.ca.gov,
or call (800) 633-2322.

Get in touch.

NOTICE TO PATIENTSMedical doctors are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov,email: licensecheck@mbc.ca.gov,or call (800) 633-2322.

NOTICE TO PATIENTS
Medical doctors are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov,
email: licensecheck@mbc.ca.gov,
or call (800) 633-2322.