Pastoral Care // Intake Form

In order to prepare,, we ask you to complete the following intake form. Please answer questions to the best of your ability. This form will take approximately 30 minutes to complete. Please plan to complete it in one sitting. In meeting with individuals, while we are not certified, licensed counseling, we gladly offer pastoral care and prayer for individuals upon request. For any cases beyond our scope or in need of additional care/support, we will refer them to one of our trusted Christian counselors within our network.

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