Pastoral Counseling intake
Pastoral Counseling New Client Intake Form
If a couple, each spouse will need to complete their own form. If a minor, a parental consent must be signed by parent or guardian prior to consultation of first session.
Please answer the following intake questions as completely as possible. This information will give me a better understanding of your circumstances prior to our first session. If you are uncomfortable answering a question, skip it, though some fields are required for submission. This form will be kept confidential.