Individual Pastoral Counseling Request Form Logo
  • Individual Counseling Request Form

    for Spiritual Pastoral Counsel
  • For SOZO MINISTRY, please go back to the website and choose "Sozo Request Form".  This form is for individual pastoral counseling only.

    * Those requesting Individual Counsel MUST COMPLETE THIS FORM THEMSELVES!  Please do not try to complete this form for your spouse. 

  •  - -
  •  -
  • Personal Information

  • Health Information

  • Previous / Current Care Information

  • Spiritual Background



  • Reason for Counsel

  • Briefly answer the following questions:

  • By typing your name below (as your electronic signature) you agree with this statement:

    I understand that the counseling given at Vanguard Church is Spiritual Counseling, based on biblical principles and prayer. Typically, all forms and sessions will remain confidential. In rare cases that have the potential to impact the church body, I acknowledge the biblical model of church oversight which involves all pastors and elders in the process. In the event that I cannot make my appointment, I will call the Church Office to cancel and/or reschedule with 24 hours notice.  

    I agree to do my part, preparing my heart to hear from the Lord; and searching the scriptures regarding this issue. I will also spend time in prayer and ask the Lord what He wants me to work on, and consider fasting in preperation for my pastoral counseling appointment.

  •  - -
  • Should be Empty: