COUNSELING INTAKE FORM
Welcome to the counseling ministry at Harvest Bible Chapel North Indy. We know it’s not easy to ask for help and we are so grateful that you have invited us into your life at this time. It is our prayer that God will bless you and use our time together to build more hope and direction into your life. The next step in the counseling process is to complete the following intake form. This form is designed to (1) help us to get to know you in a comprehensive and holistic manner (2) help you organize your thoughts about your counseling objectives and (3) help establish the guidelines of commitment and confidentiality between you and your counselor. Rest assured that this form will only be given to your assigned counselor and all information will remain confidential. Please allow approximately 30-45 minutes to complete these forms. Please read and answer this form carefully. Simply put “NA” if the answer is not applicable to you.
CONSENT TO BIBLICAL COUNSELING:
Note: A consent form will be sent to your parents for both you and them to read and sign. Please bring the completed form to your first meeting.