Counseling Intake Application:

Do you feel like you've lost hope and don't know what else to do?  We can help!

Each of us has personal and interpersonal struggles. Jesus knows those struggles, cares about strugglers, and enters in. We see him bring about significant change in people's lives every day. Our goal in providing Christian counseling is to help you meet the challenges of life in a way that will please and honor God and allow you to enjoy His love for you and His plans for your life.

Christian counseling helps with these common struggles and more:
  • Marriage Conflict

  • Anxiety

  • Unhealthy Body Image/Eating Disorders

  • Sexual Brokenness

  • Relational Conflict

  • Depression

  • Marital Abuse

  • Post-Traumatic Stress

  • Addiction

  • Family Conflict

  • Spiritual Decision Making 

  • Grief/Loss

  • Anger

We’re glad that you’re taking this important step to seek godly counsel. Jesus promises us, “Come to me, all who are weary and heavy-laden, and I will give you rest” (Matthew 11:28). No matter what your situation, this is a time in your life that the God of all creation knows and understands completely and therefore, there is great hope! This form is helpful for us to start getting to know you and your situation, as well as to communicate these first important points which explain some of our perspectives and convictions which we believe are honoring to God and the best way we can truly be of help to you.

Biblical Basis: We believe that the Bible provides thorough guidance and instruction for faith and life (II Peter 1:3 and Romans 15:4). Therefore, our counseling is based on biblical principles. A personal God gets personal with us. God’s plan is to be close to us and for us to draw near to him. The Bible is a great way to draw near to Him, get to know His character and learn from the wisdom of His words. 

Not Professional Advice: Our counselors do not practice as professional doctors, psychologists or psychiatrists in their role as Catalyst Counselors. In this role, they do not provide the same kind of professional advice and services as professional therapists. Therefore, if you have significant legal, financial, medical or other technical questions, you should seek advice from independent professionals not associated with Catalyst. Our counselors will be happy to cooperate with such advisors and help you to consider their counsel in the light of relevant biblical principles. By signing this “Consent to Christian Counseling” you agree to hold Catalyst Church harmless in any and all matters associated with the biblical advice you have received.

Confidentiality: Confidentiality is an important aspect of the counseling process, and we will carefully guard the information you entrust to us. There are three situations when it may be necessary for us to share certain information with others: (1) When a counselor is uncertain of how to address a particular problem and needs to seek advice from another pastor or elder in this church; (2) when the counselor sees an opportunity to involve appropriate staff in additional care for others involved; or (3) when there is a clear indication that someone may be harmed unless we otherwise intervene. Please be assured that our counselors strongly prefer not to disclose personal information to others, and they will make every effort to help you find ways to resolve a problem as privately as possible.

Fees/Scheduling:  We offer counseling services for members of Catalyst Church free of charge.  If you are a non-member and are interested in counseling there is a $25 fee per session.  Appointments may be made by contacting each counselor directly to discuss availability or by emailing info@catalyst.family.

Having clarified the principles and policies of our counseling ministry, we welcome the opportunity to meet with you. If you have any questions about these guidelines, please discuss these with your counselor during your first appointment. If these guidelines are acceptable to you, please complete the form below. 

People pursue counseling for many reasons, but the hardest step for anyone is the first step.  Reach out today!
Email *
Contact Information
Name *
Phone *
Address *
Date of Birth: *
MM
/
DD
/
YYYY
Gender: *
Marital Status: *
I have read the above guidelines and I am in agreement with the nature of the counseling of Catalyst Church.
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Catalyst. Report Abuse