KCMI Counselling Request

We are here to support you. Please fill out this form to request a counselling session with a Pastor or trained counsellor at KCMI. 
All information shared is kept confidential.

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What is your name *
What is your email address?
What is your phone number *
Reason for counselling? *
Preferred method of counselling *
Preferred Time for Appointment *
Is there anything else you would like us to know?
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