• Counseling Request

  • If filling out form as a couple, and answers vary, please answer for both by initialing the separate answers.

  • Contact Information

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  • Previous Counseling Experience

  • "In-house" counseling provided by Fondren Church is short-term and is designed to assist you in finding help that is appropriate for your situation.  If ongoing support will be needed, which of the following would you be interested in?

  • Should be Empty: