Application to Work With Jamal Jones, LMFT

Thank you for your interest in working with us!

At Central Valley Christian Counsel, we work with a limited number of high-capacity individuals and couples who are serious about meaningful change.

Most clients begin with a 90-Day Integrated Transformation Container designed to create focused, measurable progress.

Please complete this application thoughtfully.

Your information will be sent to us automatically, and you'll receive an email with your next steps. If you have any questions, feel free to reach out at [email protected]. We look forward to connecting with you!

Full Name *

Phone *

Email *

Central Valley Christian Counsel is a private-pay counseling practice and does not accept insurance. *

I am specifically seeking private-pay counseling

I understand insurance is not accepted and I am comfortable proceeding

I am looking for insurance-based services

Are you currently experiencing a mental health crisis requiring immediate medical care? *

Yes

Who will be participating? *

Individual

Couple

Family

What challenge prompted you to seek support at this time? *

What has been weighing on you the most lately? *

If our work together were successful over the next 90 days, what would make this investment feel completely worthwhile? *

On a scale from 1–10, how committed are you to doing the internal work required for meaningful change? *

110

Rate your commitment level

Most clients begin with a structured 90-Day Transformation Container starting at $5,000. Which statement best reflects your readiness? *

I am prepared to invest in premium care

I have access to funds or credit if it is the right fit

I am looking for lower-cost options

Consent Checkbox (Required)

By checking this box, I consent to receive non-marketing text messages from Central Valley Christian Counsel, Inc. about my inquiry, application status, appointment scheduling, and related service communication. Message frequency varies; message & data rates may apply. Text HELP for assistance, reply STOP to opt out.