Jones Counseling & Consulting
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Fees & Forms

​The standard hourly fee is based on a 50 minute session:  
Although Jones Counseling Services does not take insurance, you may be able to be reimbursed for some expenses on an out-of-network basis. Payment is due at the time of service and can be made by cash, check, or credit card.  Please print out the forms below and bring them to your first scheduled appointment.

Client Forms (Download)

Intake Form
Couple intake form
Limits of Confidentiality / Cancellation Policy
AUTHORIZATION FOR USE OF DISCLOSURE
CREDIT CARD PAYMENT AUTHORIZATION FORM

Dr. Jones is an out an out-of- network provider

​​This simply means that my office does not bill the insurance companies directly. Blue Cross Blue Shield does not require a prior authorization for services and will work with you to easily get reimbursed.
For all other insurance companies you must call prior to therapy and get authorization. After sessions I can provide you with an itemized invoice with the correct coding required for reimbursement.

Why Consider Paying Fees Privately or Out of Pocket?

​Many clients choose to not involve insurance companies for counseling services. Out of pocket therapy sessions do not limit you to a diagnosis, treatment plan or a set number of sessions. It is important to note that many plans do not cover individual, couples/relational or family therapy. A diagnosis is needed if you use insurance. This becomes a part of your permanent health record. Insurance companies have full right to all your records. My goal is to help clients get to the root cause of your problems without giving a clinical diagnosis. 
I will work collaboratively with you as a team to decide how often you should attend therapy,  not the insurance companies. The final advantage relates to session availability. A person seeking counseling is ready now to work on the issue at hand. Private Pay has the flexibility to get you in to see me much sooner.
  • I accept MasterCard, Visa, Discover, American Express, Debit Cards, Checks and Cash.
  • Private pay only (sorry, no insurance is currently accepted).


SERVICES
Counseling may include some or all of the services listed, depending on our plan:
Free 15 minute phone consultation.
  • Assessment to see where you stand in terms of specific issues and diagnosis. 
  • Collaborative planning on the best way to help you get what you need.
  • Science-based methods. 
  • Methods matched to your needs and preferences.
  • Communication with other health care providers (if needed). 
  • Assignments
​Office Hours
Monday: 10am - 6pm
Tuesday: 10am - 6pm
Wednesday: 10am - 6pm
Thursday: 10am - 6pm
Friday: 10am - 6pm
Saturday & Sunday: Closed

Contact
Call (904)- 305-8690
Address
10450 San Jose Blvd,
Suite D
Jacksonville, FL 32257

​American Psychotherapy Association​
Psychology Today
The American Counseling Association

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  • Home
  • About Us
  • Our Services
  • Appointments
  • Fees & Forms
  • Contact