Page 107 | Redemption Center Church

Name (Required)

Email Address (Required)

We are honored you would trust us during this season. This form helps us serve you with care, prayer, and wisdom

Your Phone Number (Required)

What's your Spouse's name? if applicable

What type of counseling are you seeking? (Required)

Marriage

Pre-Marital

Individual

Family

Grief

Crisis

Spiritual Guidance

What's your reason for seeking counseling? Briefly describe what brings you in (Required)

I understand all information shared is strictly CONFIDENTIAL;. (Required)

I understand pastoral counseling is spiritual guidance, not licensed clinical therapy. (Required)

I commit to attending scheduled sessions or giving 24-hour notice if canceling. (Required)

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Our Mission

To reach the lost and enhance the kingdom while empowering individuals to unlock their Godly potential.

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