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Non-Members

Non-Members of First Baptist Jackson

Summit Counseling is pleased to serve non-members of First Baptist Jackson, in addition to church members.  As a non-member of First Baptist, Summit Counseling provides an experienced and qualified group of Contract Therapists and reserves their session times for you. 

Fees

If you choose to have Summit Counseling submit insurance claims on your behalf, the fee is fixed at $126 per 50-minute session. Summit Counseling makes no assurance that your insurance will pay your claims and you are responsible for the $126 charge regardless of whether your insurance pays.

Check with the front desk at the time you pay about the possibility of your insurance falling in the BlueCross/BlueShield Mississippi network and costing you only a co-pay for an office visit.

For clients without insurance, fees are based on your total family income from all sources according to a sliding scale ranging from $90 to $135 per 50-minute session on an income range of under $40,999 to over $101,000.  The front desk can tell you where your payment will fall in the scale.

Fees are due at the time of your session.  Summit Counseling accepts cash, check, credit or debit card.

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

Acknowledgement of HIPAA Consent and Privacy Practices

Consent to Receive Therapeutic Services