Mosaic Life Care Agreement
Thank you for taking time to complete this form. The information you have provided will enable us to better serve you. Please read the information below and provide your signature.
Ministry Guidelines
Your Rights/Responsibilities as a Care Receiver:
Your Rights/Responsibilities as a Care Receiver: As a care receiver you have the right to discuss possible outcomes and challenges regarding the care and receive an estimate of the predicted length, goals, and outcome of the care, as well as alternative options to care. You have the right and responsibility to ask about and/or refuse any techniques used. You are encouraged to report to an elder/pastor at Mosaic Church or the appropriate authorities as defined in “The Waiver of Liability” below, if you have any concerns regarding care. You may end care at any time, but we encourage you to consult your Life Care team member as to the best way and time to do so. Life Care, Lay Biblical Counseling, Is Not Professional Advice: If you have a significant legal, financial, medical or other technical questions, we may help you seek advice from an independent professional in that field.
Financial Policy
The Life Care ministry at Mosaic is part of our ministry to our church body and the surrounding community. We do not charge for care services offered. The generosity of our members allows us to offer these services free of charge.
Appointment Cancellation Policy
We want to be good stewards of the time and resources of this ministry. If you need to cancel for any reason, please make every effort to notify your team member the day before, or as soon as possible.
Philosophy Of Care
We are committed to providing a balanced approach to care and counsel. By biblical counseling we mean that your Life Care team member is a Christian with special training and experience in applying the truths of the Bible to life. We believe biblical counseling is synonymous with intensive and intentional discipleship. We do not believe the Bible is simply a how-to-book for happiness. It speaks to all of life and all of its problems, but we must use careful thought and prayerful wisdom to know how to make those connections. We are confident that through the Scriptures and the power of His Spirit, God has given us the instruction necessary for life and godliness (2 Peter 1:3-4). Your care and counsel will be biblical in that the Scriptures are held as the final authority in all matters. Most importantly, we believe the Bible ultimately points us to a Person – the Lord Jesus Christ. We believe real change comes when people learn to see themselves and their problems in the context of a living, vital relationship with Christ. We believe deep and lasting change is brought about only by God Himself. In order for you to receive the maximum benefit of care, please plan to: 1) attend each meeting with a commitment to grow; 2) be as open and honest as possible; 3) exercise patience in working toward positive change; 4) complete any assignments in preparation for the next meeting. The Biblical Counseling Ministry Team: The Life Care ministry at Mosaic Church utilizes the help of both trained lay volunteers and pastors. Our team members do not know everything about biblical teaching and its application to life; nevertheless, they do know much and will do their utmost to help you. Team members will honestly tell you if they require additional assistance from another member of the Biblical Counseling Ministry Team. Biblical counseling consists of a Christian providing scriptural advice and practical application; yet the care receiver is held fully responsible for how he/she implements that advice (James 1:23-25). The care team consists of pastors, lay counselors and professional counselors under the direction of church elders.
Confidentiality is an important aspect of the care and counsel process. We carefully guard the information that you entrust to us to the fullest extent possible. As a church-based care and counsel ministry, we do not offer absolute confidentiality. There are times when it may be necessary for us to share specific information with others. Examples include but are not limited to: matters of criminal activities, church discipline (cf. Matt. 18.15 ff), and potential harm to self and others. Additionally, when a Life Care team member is uncertain how to address a particular situation, the Life Care team member may consult with a leader of the Life Care, the lay biblical counseling ministry, at Mosaic Church for the purpose of providing the highest level of care. To best care for you, we will work together as a ministry team while keeping the circle of confidentiality as tight as possible. There are times when care information may be shared outside the church context. Those exceptions would include, but are not limited to the following: • known or suspected abuse, neglect, or exploitation of any kind • the intent to take criminal actions or violence against another person • credible suicidal thoughts or intentions. If you are experiencing suicidal thoughts during the course of your care, it is crucial that you talk with your Life Care team member about these matters. By initialing below, you agree to share any suicidal thoughts or intentions with your Life Care team member at any time they arise, and by phone if they occur in between meetings, and that you would seek medical care if you become suicidal during the course of your care. All care forms and notes taken by the Life Care team member are the property of Mosaic Church's Life Care Ministry. They are protected as confidential and may not be used in court proceedings or any other way that is not authorized by the Biblical Counseling Ministry Team. If your counseling needs require professional representation in a court setting by a counselor, Mosaic Church will likely not be the best-fit for your needs.
Waiver Of Liability
In seeking care and counsel from Mosaic Church's Lay Biblical Counseling Ministry, please acknowledge your understanding of the following conditions and further release Mosaic Church, her elders, staff, lay counselors, employees, and all ministry team leadership, from any legal liability, claim, or litigation arising from your participation in this voluntary program: Care and Counsel will be provided by pastors or church trained lay leaders, and some Life Care team members are licensed. All care is provided in accordance with biblical principles adhered to by Mosaic Church and are not necessarily provided in adherence to any local or national psychological or psychiatric association; No representation has been made, either expressly or implied, that the biblical counseling, as conducted by the above mentioned Life Care team members, is accepted as customary psychological and/or psychiatric therapy within the definitional terms utilized by those professions; It is understood by the participant care receiver(s) that all complaints and concerns will be heard by the elders of Mosaic Church.
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