Request for Care & Counseling
Thank you for reaching out to the Care & Counseling Ministry Team at River City Church. Please complete the form below to begin the process, and a pastor will be in touch with you very quickly. Everything shared in this form will be kept confidential, and will only be shared with those directly involved with you. The more detail you share! It helps us to know how we can best come alongside you in this season.

Note: A "spiritual friend" is a member of River City Church who has been trained and equipped to provide care and counsel to the body. They may be assigned to help you based on their experience and training as it pertains to your situation.

Personal Information
Please share your name, address, email address, and phone number.
Your answer
Personal Information
What is your age?
Your answer
Personal Information
What is your gender?
Local Church Involvement
Discipleship alongside a Spiritual Friend is only one part of how we grow in grace. Therefore, we ask that those participating in this ministry also take part in the greater ministry of River City Church. Please choose one of the following responses below to communicate your current level of participation in the life of the body.
Local Church Involvement
If you are a part of a Missional Community, which group do you attend?
Your answer
Personal Information
What is your occupation?
Your answer
Personal Information
Were you referred to this ministry? If so, who referred you?
Your answer
Care & Counseling Information
Why do you desire to meet with a pastor or spiritual friend?
Your answer
Care & Counseling Information
How long has this issue existed?
Your answer
Care & Counseling
What have you already done about this issue or situation?
Your answer
Care & Counseling
Has anyone been helping you with this issue or situation? If so, who and for how long?
Your answer
Care & Counseling Information
What results are you expecting or hoping for from this care and counseling process?
Your answer
Release of Information
Is there anyone whom you would like to remain involved in this process with you? If so, would you allow them to contact your pastor or spiritual friend directly regarding your situation?
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