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COUNSELING REQUEST FORM

Complete the form below for all counseling services and needs. Someone from the administrative office will be in contact with you shortly. 

We are here to support you in your faith journey, no matter what trials you encounter in life. You don't have to go through a trial alone. We are here to help you overcome any challenge you face.

PROVERBS 11:14

Where there is no guidance, a people falls,

but in an abundance of counselors there is safety.

Name*

Email Address*

Please provide complete details regarding the PURPOSE OF APPOINTMENT, as well as AVAILABLE DATES for the next two weeks, & PREFERRED METHOD OF CONTACT (email or phone). Thank you*

Phone*

 

“And by Your blood You ransomed people for God from every tribe and language and people and nation, and You have made them a kingdom and priests to our God.”Revelation 5:9-10

 

 

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