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  • Marital Counseling Request Form

    for Spiritual Pastoral Counsel
  • * Those requesting Marital Counsel MUST COMPLETE THIS FORM TOGETHER!  Please do not try to complete this form wityout your spouse's consent. Both of you must be willing to come and meet with the pastors to receive this counsel. 

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  • Personal Information

  • His Health Information

  • His Previous / Current Care Information

  • Her Health Information

  • Her Previous / Current Care Information

  • His Spiritual Background



  • Her 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.

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