FORMS


FORMS
Kathy Dickinson Gray, M.A., NCC, LPC, LMFT, OTA,
EMDR Certified
Specialist in Sensory Processing/Self-regulation
Houston Eating Disorder Specialist
Certified IMAGO Relationship and Couples Therapy

*1525 Lakeville Drive, Suite 114
Kingwood, Texas 77339

*723 W. 17th St.
Houston, Texas 77008

*13706 N. Hwy 183 #114
Austin, Texas 78750

Phone: 281-223-3421
Email: kdgray8@gmail.com
kathygrayachievefulfillment.com 

Informed Consent and Practice Policies for Office and Online Therapy

LITIGATION POLICY AND FEES FOR COURT-RELATED SERVICES

Office Therapy Fees –

Emergency Care 

 RELEASE OF INFORMATION

Patient Intake Form