Thank you for your interest in receiving biblical counseling. Our weekly counseling appointments are offered in-person in our offices located at 9230 Ridge Rd. New Port Richey, FL 34654 in the Eduducation Building. In order to prepare for your first visit, we need you to complete the following Counseling Intake Form.
Content & Sections
The Counseling Intake form is divided into three main sections:
1. Personal Data Inventory
- Contact Information
- Health History
- Religious Background
- Marriage History
- Children Information
2. Basic Information Questionnaire
3. Consent Form and Agreement
Time & Logistics
This form will take you approximately 20-45 minutes to complete.
