Church Members

First Baptist Jackson Members

If you are an active, attending member of First Baptist Church Jackson, you will not be subject to fees if you see a Summit Staff Therapist. Your tithes and offerings to First Baptist Jackson support this ministry. First Baptist Church Jackson pays our staff therapists and therefore your sessions with them are free to you.

If you choose to see a Contract Therapist, we ask you to contribute $50 to the fee that the Summit Counseling ministry pays the therapist, in order to help defray the cost to this ministry.

New Client Forms

For your convenience, you may fill these forms out ahead of time or we will provide you with these forms at the time of your first appointment.

Please email the typed-in form to or you may print it out and bring it with you to your first appointment.

New Client Intake Form

First Baptist Jackson Member Fees

Acknowledgement of HIPAA Consent and Privacy Practices

Consent to Receive Therapeutic Services