Request

We are eager to help you according to God's Word.  Click on the link below to complete a Counseling Application Form and also a Counseling Consent form.  Each individual requesting counseling must complete both forms, including married couples.  Once these forms have been completed and received, we will contact you to discuss your situation.  The application will help to streamline the counseling process and communication.


COUNSELING APPLICATION FORM


Contact

counseling@placeritachurch.com