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Leslie A. Reed, Ph.D. , LLC

Clinical Psychologist
California: PSY 13271
Vermont: 048.0134287

Please print and complete all of the forms below. If we are meeting in person, please bring them to your first appointment. If we are meeting via telehealth, please mail them to:

Leslie A. Reed, Ph.D., LLC

PO Box 583

Manchester Center, VT 05255

These forms must be completed prior to our first session.

Initial Visit Information Form

HIPAA Notice of Privacy Practices Form

Office Policies, General Info, Consent for Services Form

Telehealth Consent Form

Good Faith Estimate

Professional Disclosure Information

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