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    1820 Preston Park Blvd.  Plano TX 75093

    Telehealth only for California residents.

    julie@lightedpathways.org | 323-902-6892

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

     

    Lighted Pathways

    1820 Preston Park Blvd.
    Plano, TX 75093

    323-902-6892
    julie@lightedpathways.org

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    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

    Lighted Pathways Family Wellness Center
    julie@lightedpathways.org | 323-902-6892

    Julie Ann Gray, PsyD, LCSW (CA License 28196, TX License 68579)
    Founder and Lead Clinician

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    • Home
    • Our Team
    • Services
      • Telehealth
    • Getting Started
      • Common Questions
      • Rates and Insurance
      • Client Forms
      • Appointment Request
    • Newsletters
    • Resources
      • Recent News
      • Mental Health Links
      • Physical Health Links
    • Contact Me
    • Office Hours
    • Blog
    • Author’s Page
    • Store