Welcome! Thank you for trusting us to step in and help you find biblical solutions for what you are facing. We believe it is right and helpful for us to gain understanding from you before we impart wisdom. Therefore, please fill out this form. If this involves marital or relationship counseling, please have both parties fill out the form. We have made this form HIPAA compliment and hold the highest level of confidentiality with the information you provide us. This form will only go to our intake coordinator who will then place you with the best counselor for you and your needs.

This form should take you no longer than 20 minutes to complete. If you need to stop and continue later, proceed to the bottom of the page and click the link: “Save and continue later.”

We place new cases on Wednesdays, so please be mindful that it may be up to 6 days before you hear back from us. Thank you and we look forward to serving you.

If you are seeking counseling for a minor under the age of 18 and 16 years old or older, please click this link for a different form