Prayer Counseling Intake Form
Thank you for inquiring about Prayer Counseling Ministry at Calvary Church. The intake is confidential and will only be seen by me, Desiree Elrod, the Prayer Counseling Pastor. I will email you back within 1-4 days. A consultation will be scheduled first. During the consultation I will do an intake and then explain what Prayer Counseling is. After attending a consultation, 5 prayer sessions will be offered if you're wanting to move forward.  Blessings to you as you continue forward in your healing journey with the Lord.
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What is your first and last name?  *
Email Address?  *
What is your phone number?  *
Gender *
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Birthday?  *
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How did you hear about the Prayer Counseling Ministry? *
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Can you give the name of the person who referred you and their professional/church/ministry affiliation, if applicable?  *
What church are you affiliated with, if any? *
What brings you to Prayer Counseling at this time? *
What is your availability?  Knowing your level of flexibility will help me to schedule appointments more efficiently. Please check which time slots applies to your availibility. (Please know that I am typically booked so the more time slots that you can check off, the faster I will be able to schedule you.) *
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