Get Chapelgate Counseling Form

Filling out the Chapelgate Counseling Form online is a straightforward process designed to gather essential information for your counseling experience. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the Chapelgate Counseling Form online.

1. Select the ‘Get Form’ button to access the Chapelgate Counseling Form. This action will allow you to open the form in your preferred editor.
2. Begin by entering the personal data of the person receiving counseling. This includes providing your full name, date of birth, sex, age, and marital status.
3. Fill in your address, including city, state, and ZIP code, along with your contact details such as home, cell, and business phone numbers.
4. Indicate your occupation and provide your email address. Also, specify how you were referred to the counseling service and if you attend a church.
5. Answer the question regarding permission to consult with your pastor or youth leader by indicating ‘Yes’ or ‘No’.
6. In the designated area, describe in your own words the reason you are seeking counseling.
7. If the individual receiving counseling is a minor, please fill in the guardian's information. Include the names, ages, addresses, and contact details for both the mother and father or guardian.
8. Ensure that the guardians provide their consent for the minor to receive counseling by signing and dating the agreement.
9. Read through the counseling agreement to understand the terms, including fees, confidentiality, and scheduling policies. Confirm acceptance by signing and dating this section.
10. Complete the protection of privacy section, noting any restrictions in communication preferences and confirming receipt of the Privacy Policy.
11. Finally, sign and date the document, ensuring that any necessary signatures from parents or guardians for a minor are included.
12. Once all fields are completed, save your changes and consider downloading, printing, or sharing the form as necessary.

Complete your Chapelgate Counseling Form online today to facilitate your counseling journey.