Online Forms

Psychotherapy will be via telehealth instead of using a physical office location.  A link to a more updated Client Psychotherapy Intake Form, Limits of Confidentiality, Therapy Cancellation Policy, and the Authorization to Disclose Information Form will be emailed to you in a fillable format after the consultation appointment is scheduled.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), a form similar to this one will also be emailed in fillable format after the consultation appointment is scheduled. This is a sample form to authorize release of psychotherapy information:

(There is no need to download the above forms which are provided here as samples worth reviewing; however, you are welcome to download them.  Note:  To download Adobe Acrobat Reader for free, Click here.)

Eric Reyes

Address

13296 Amargosa Road,
Victorville, California 92392

Phone

4424015742

My Availability

Monday  

7:00 am - 6:00 pm

Tuesday  

7:00 am - 6:00 pm

Wednesday  

7:00 am - 6:00 pm

Thursday  

7:00 am - 6:00 pm

Friday  

7:00 am - 6:00 pm

Saturday  

Closed

Sunday  

Closed