Welcome, Faith Church

BrianJames Therapy is grateful to partner with you for healing, formation, and growth - emotionally and spiritually.

The fact that you are here reflects your desire to grow and that you have already taken the first step of accessing this resource through your church. Well done. We recognize that it is always an act of courage to reach out for help.

Now let’s get you started! Complete the intake form below. This is the first part of the process on our end to get you connected to the appropriate therapist for you. As you do, please make note of these elements:

Identify the price that is feasible for you. As you likely already know, BrianJames Therapy is offering 10 sessions to members of the Faith Church community for $5/session (to be used in consecutive weeks). These sessions will be provided by our graduate student counseling interns under the supervision and training of BrianJames McMahon, LMFT and will be made available as there is room. You are not required to work with our counseling interns and are welcome to select a different counseling option for you. If you are able to afford the standard session fee, we would encourage you to do so. That will allow those in financial need to have access to this support.
Tell us a little about the support you are looking for. This will help us identify the best counselor and level of care for you.
Our anticipation is that most of the counseling provided for Faith Church will be virtual. If you would prefer in-person counseling and are willing to drive to our office in Lees Summit, please include that information when you submit your form.

That’s it! Once we receive the form, we will reach out to you to schedule your first session!

Name

First Name

Last Name

Age

Phone

(###)

###

####

Type of counseling needed

What price-range is feasible for you?

Keyword (for discounted rate)

How can we help you?

Please provide a brief description of what you are hoping to accomplish through counseling

Scheduling

Please let us know any scheduling limitations (work/school schedule, etc) we will need to be attentive to in scheduling.

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 BrianJames Therapy harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Yes, I want to submit this form

BrianJames Therapy
529 SE 2nd St, suite C
Lees Summit MO 64063
hello@brianjamestherapy.com

Business Hours: by appointment only