Pastoral Counsel Request - Telehealth

Please list 1 of the services you desire to receive counsel e.g. woman-depression, dating/engaged/married - couple assessment, teenager - bullying, family - abandonment; or mental health assessment.
Checkbox List*
Do you have tele-video access (Zoom, Skype)?
Checkbox List 2*
Do you have access to a printer?
Checkbox List 3*
Do you have access to a fax?
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If you are struggling with spiritual and/or emotional issues and desire to speak with a Christian pastoral counselor about your concerns, please fill out the contact form indicating which service you are requesting. You will be contacted via email confirming receipt and further information for consents prior to a counsel session, excluding weekends and holidays. 

Please be advised your information will be kept private and confidential per our private policy.

**If you are in an emergent life-threatening situation or feeling suicidal or need immediate assistance, please call 911 immediately!**

**God LOVES you and your life is worth living and you are valuable!!** John 3:16(NIV) "For God so loved the world he gave his one and only Son, that whosoever believes in Him shall not perish but have eternal life."

The National Suicide Prevention Lifeline 24 hrs/day with available trained counselors 1-800-273-TALK (8255)




P.O. Box 950283

Lake Mary, FL 32759


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