Counseling Intake
Intake Forms
Once you've scheduled a first session, please download and print the intake forms, fill them out by hand, and bring the completed forms to your first appointment.
The form takes about 30–45 minutes. It covers ministry policies, personal background, spiritual and health information, and your counseling goals.
Counseling Intake Forms
PDF · 11 pages · print and fill out by hand
How to complete the form: Download the PDF, print it on letter paper (any home printer will work), fill it out by hand, and bring the completed pages to your first appointment.
Questions before your first session?
Office: 2064 Highway 82, Statham, GA 30666
Phone: 770-807-1227 — voicemail, we respond within 24 hours
Haven't scheduled yet? Reach out first — the intake form is the next step after we've connected.