CARE & COUNSELING

Welcome to The City Gates Church Counseling Ministry

The City Gates Church Counseling Ministry is here to support our church family with biblically grounded, Christ-centered counseling at no cost. Our care is provided by both our pastoral staff and trained lay counselors who are committed to walking with you through life’s challenges with wisdom, compassion, and truth from God’s Word.

This intake form helps us get to know you better so we can prayerfully and thoughtfully come alongside you in this current season of life.

Please note: While all of our counselors meet the necessary qualifications to serve as lay biblical counselors, they are not licensed therapists or clinical professionals.

First name

Last name

Email Address

Phone Number

Gender

Male

Female

Date of Birth

Month

Day

Year

Marital Status

Single

Married

Widowed

Are you a believer in Jesus Christ?

Yes

Unsure

What Sunday service do you attend at The City Gates Church?

First Service

Second Service

Neither

Are you a City Gates Church member?

Yes

If City Gates Church isn’t your church, please provide the name of your church.

Are you currently participating in a small group? If yes, please share who your small group leader is.

Please describe in general terms the current problem you would like counsel for.

Have you had previous counseling for the above reason? If yes, please share when and where.

What's the first thing you want to change?

What are your expectations and hope for counseling?

Please indicate your available times to meet.

Are you willing to have a person/couple in training join us?

Yes

CONSENT & UNDERSTANDING

Yes

By selecting yes, I understand that:

The counseling offered at TCGC is based on biblical principles and God’s Word.
Our pastors and ministry leaders are not licensed therapists or psychologists but are trained in biblical counsel and pastoral care.
All information shared is confidential within the pastoral team, except in cases of suspected abuse, threats of harm to self or others, or as otherwise required by law.