Contact

Let’s get you the mental health care you deserve.

If you are NOT a current client, please complete the form below to request your free 15-minute consultation.

Reach Out

hello@healingpathwayshouston.com

(832) 895-9358, ext. 1

Memorial (main) office:
9235 Katy Freeway, Suite 140-160, Houston, TX 77024

Upper Kirby:
4151 Southwest Freeway, Suite 720, Houston, TX 77027

Contact Form

Full Name

First Name

Last Name

Client name, if different from the person completing this form. (If not applicable please enter N/A).

First Name

Last Name

Partner's name, if inquiring for couples counseling. (If not applicable please enter N/A).

First Name

Last Name

Who are you inquiring about services for?

Individual

My child

Couples/family therapy

Other

Client's Date of Birth

YYYY

Phone number

(###)

###

####

What is your preferred method of contact?

Preferred Location

Do you have a preferred therapist you'd like to work with?

What insurance will you be using?

Please note, our self-pay rates range from $50 - $180 per session at this time.

Insurance ID, Group #, and Primary Insurance HolderDOB:

We understand knowing your financial responsibility is important prior to attending therapy. To help us accomplish this, please provide your ID, Group #, and Client DOB below to verify benefits in advance with our practice.

In a few words, describe what brings you to therapy?

We'd love to know how you heard about us!

What is your availability for sessions?

This includes time/day preferences.

What are your therapeutic preferences?

This can include what you're looking for in a therapist, a specific therapist at Healing Pathways of Houston, and/or modalities of therapy.

Would you like to opt into our Weekly Newsletter for all HPH updates?

Yes