Pastoral Counselling/Appointment

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This form has been designed to allow members to request meetings with the Pastorate discreetly.

Full Name *

Email Address *

Phone Number *

Gender *

Male

Female

Required

Preferred Meeting type *

In-person

Virtual

Reason for request *

Preferred date & time *

YYYY

Time

Urgency level

Normal

Urgent

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I understand that all information shared in this request and during pastoral counseling is treated with care and confidentiality by RCCG Maranatha Assembly. I acknowledge that pastoral counseling is faith-based support and not a substitute for professional medical, psychological, or legal services.

I consent to being contacted by a pastor or designated church leader to discuss my request and to schedule an appointment. I understand that confidentiality will be maintained except where disclosure is required by law or where there is concern for safety.

I have read, understood, and agree to the confidentiality acknowledgement and consent above.

Required

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