Partner Church Counseling Request Form

Ready to schedule your first session?

We believe that counseling can be an instrumental part of the formation journey for followers of Jesus. That is why we have chosen to partner with local churches to provide more access to counseling services with trained clinicians who also follow Jesus.

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 support. This is where your personal pathway to healing through the therapeutic process begins. We are grateful to partner with you for healing, formation, and growth - emotionally and spiritually.

Now let’s get you started!

Instructions for completing the intake form:

  • Identify the price that is feasible for you.

    As you likely already know, BrianJames Therapy Group is offering the initial eight (8) sessions for members of your church at reduced rates at two different levels of counseling experience.

    • You can sign up for 8 initial sessions at a $25/session rate to work with our graduate student counseling interns, or for

    • 8 initial sessions at a $65/session rate to work with our provisionally licensed therapists (to be used in consecutive weeks).

      Note: You are not limited to the initial 8 sessions, but will need to discuss ongoing cost with your counselor once the initial 8 sessions are completed. The standard rate for graduate student interns is $40/session and for provisionally licensed counselors is $95/session.

  • 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.

  • Let us know your preferred counseling format.

    • You can decided whether you prefer to receive counseling virtually via video calls, or in person in either our Blackwater or Lees Summit locations.

  • Please hold these 2 additional resources in mind as you think about your counseling process:

    • Because we believe counseling can be a part of discipleship and the formation process for followers of Jesus, you have the option to request your pastor follow up with you regarding your counseling process. This is completely optional. We do not report to your pastor or give information regarding what is taking place. This simply communicates your desire for your pastor to know your are in counseling so they can reach out to encourage and support you.

    • Because we believe the greatest healing comes in the context of mutual relationships, everyone who begins counseling has the opportunity to also participate in a Story-Telling Community with others from their church who are also in therapy. This is highly recommended, and completely optional.

That’s it!

Once we receive the form, we will connect you to your therapist who will reach out to schedule a consultation call prior to your first session.

BrianJames Therapy
hello@brianjamestherapy.com

Lees Summit Office

529 SE 2nd St, suite C
Lees Summit MO 64063

Blackwater Office

127 Main St
Blackwater MO 65322
(inside Morning Glory Wellness)

Business Hours: by appointment only