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Private Couples Retreat Program
Jennifer Jones, Licensed Marriage and Family Therapist
Idealized Design
Professional Consulting
Focus Areas
Love, Sex & Trust
Infidelity (Affairs)
Infertility & Adoption
Sexuality (Orientation)
Cancer / Chronic Illness
Multiple Divorces
Sexuality (Desire / Performance / Trauma)
Deciding Should I Stay or Leave?
Preparing for Long Term (Pre-Marital)
Conscious Dating
Grief & Death
Divorce Recovery
Career Counseling Intensives
Private Couples Retreat
Articles
Resources
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Idealized Design
Professional Consulting
Focus Areas
Love, Sex & Trust
Infidelity (Affairs)
Infertility & Adoption
Sexuality (Orientation)
Cancer / Chronic Illness
Multiple Divorces
Sexuality (Desire / Performance / Trauma)
Deciding Should I Stay or Leave?
Preparing for Long Term (Pre-Marital)
Conscious Dating
Grief & Death
Divorce Recovery
Career Counseling Intensives
Private Couples Retreat
Articles
Resources
Clinical Practice Agreement
Name
(Required)
First
Last
Email
(Required)
Checkbox Items
(Required)
Initial Private Couple Retreat Appointment, Individual or Couple, 2.5 hours
1 or 2 Day Private Couple Retreat Appointment, 6 hours, Friday, for 2nd day, following Saturday, (9:30 a.m.- 5:30 p.m. The first Saturday of the month is available for scheduling. Additional options only available as schedule permits. Deposit or prepaid required when scheduling.)
Established Couples Follow Up Appointment, 2 hours, Thursday
Initial or Established Individual Appointment, 1.5 hours, (Retreat process optional.)
Established Individual Appointment, 1 hour
Professional Consulting Group, 2 hours, Wednesday, 1/month, (9:30 a.m.-11:30 a.m., 5 month commitment. Sign up required and more information, jenjonestherapy.com)
Retreats/Couples $250.00/hr, Individuals $175/hour, plus added 3.5% service fee for credit cards. Cash or check accepted to avoid 3.5% service fee. Superbills can be provided for client to submit to insurance if you have out of network benefits. Paypal Credit is a low fee option if you need a payment plan. Limited sliding scale available for established individual clients.
I give permission to communicate via email according to email policy listed.
(Required)
YES
NO
I give permission that a bookkeeper can have access to my non-clinical information (e.G., name, dob, address, email).
(Required)
YES
NO
Terms of Service
(Required)
I have read and agree to the
Terms of Service
Your Signature
(Required)
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