Get Started with Soul Care

Form Entry

Added: 3/21/2023

We would love to help you. Please fill out the form to help you navigate options and offerings. We offer groups, classes, and biblical lay counseling, and can also provide outside referrals for care. We will be in touch to move forward with the next steps.

PERSONAL INFORMATION

First Name

Last Name

Mobile Phone

Gender

Birthdate

Church Involvement

Do you regularly attend Christ Chapel Bible Church?

If so, which campus do you regularly attend.

If you do not attend CCBC, name of Home Church?

How Long have you attended Christ Chapel or your church?

Are you actively involved at Christ Chapel or your church?

Do you have someone (or a group of people) at Christ Chapel or your church that you can honestly share problems, struggles and hurts?

Please list days and times you are available. (Note: Our counseling happens between 9 and 5 during the work week, not one weekends or after hours.)

Please select one of the following descriptions that best describes your reason for seeking help at Soul Care.

Overall٫ things in my life are going well; however I am feeling stuck with regards to a particular area in my life. I am looking for spiritual guidance and direction. I am experiencing hardships that are impacting many areas of my life on a semi-regular basis. I am feeling spiritually discouraged. I am not functioning well on a daily basis because what I am experiencing is debilitating. I am consumed by this issue and it is affecting all areas of my life.

What is your reason for coming to Soul Care? (What is the main concern as you see it?)

Do you believe being an active part of a community of believers is important to reaching your goals of receiving care in counseling? Why or why not?

What do you hope to achieve through receiving help at Soul Care?

Do you have any previous involvement with Soul Care? ( i.e., re|engage, Thrive, AveNew, groups, classes or individual)

Referred to Soul Care by:

Please read the Informed Consent here

Welcome to Soul Care! Our goal is to help you meet the challenges of life in a way that will please and honor the Lord Jesus Christ and allow you to fully enjoy His love for you and His plans for your life (Galatians 6:1-2, 2 Corinthians 1:3-4, 1 Thessalonians 5:14).

What You Can Expect From Us

We believe that the Bible provides thorough guidance and instruction for faith and life. Therefore, both our individual care and groups are based on scriptural principles rather than those of secular psychology or psychiatry. Neither the pastoral nor the lay caregivers or leaders of this church are licensed as psychotherapists or mental health professionals, nor should they be expected to follow the methods of such specialists. Therefore, if you have significant legal, financial, medical or other technical questions, you should seek advice from an independent professional. Our pastoral lay counselors and group leaders will be happy to cooperate with such advisors and help you to consider their counsel in the light of relevant scriptural principles.

If we believe that our care is not what is needed for you during this time, then we will give you a referral in the surrounding area.

What We Expect From You

Consistent attendance and timely notification of cancellations. If a counselee or group participant is unable to keep an appointment or attend a group session, he or she must contact his or her respective counselor or group leaders to cancel in a timely manner. Notification of cancelation is expected at least 24 hours in advance. Consistent failure to do so or two consecutive cancelations without good cause will result in termination of counseling and/or group participation. Not showing up constitutes canceling. We understand emergencies happen, so please keep us informed.
Complete all homework assignments. The counselee or participant commits to complete all assignments before each meeting. Continued lack of completion of homework will lead to termination of counseling or removal from a group.

Confidentiality/Limitations

Confidentiality is of the utmost importance in the care process, and we will carefully guard the information you entrust to us. We believe that it is important that the counselee be able to assume that their private communications with the lay counselor be kept private.

In order to provide the best possible care, counselors and/or group leaders will attend a bi-weekly supervision meeting in which they will receive continuing education from Christ Chapel pastoral staff and will have an opportunity to consult with others (CCBC staff, lay counselors, group leaders) should there be an uncertainty about the best counsel to give participants/counselees.

Because we are continually training others to be effective caregivers, we ask that you agree to allow counselors in training to be present during your sessions. For security and training purposes, sessions are continually recorded to the in-house security/monitoring system. These recorded sessions will only be used for training purposes, including supervision of your own counselors and also extending to the training of other counselors. There is a strict confidentiality policy that the content of the recorded sessions would not be exposed outside of the ministry, except where noted in this consent.

As a church ministry, we submit to the governing authorities. When it is required, we will report child abuse, elder abuse or abuse of disabled persons. When a person is a danger to themselves or others we will inform others to help keep any harm from being done. It may also be necessary for a lay counselor or group leader to share information with others when a person persistently refuses to renounce a particular sin and the assistance of others in the church if necessary to encourage repentance and reconciliation (see Proverbs 15:22; 24:11; Matthew 18:15-20)

Resolution of Conflicts

On rare occasions a conflict may develop between a pastoral counselor, lay counselor or a group leader and a counselee or group participant. In order to make sure that any such conflicts will be resolved in a biblically faithful manner, we require all of our group participants and counselees to agree that any dispute that arises with a counselor and/or group leader or with this church as a result of lay counseling or group participation will be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure of the Institute for Christian Conciliation; judgment upon an arbitration award may be entered in any court having jurisdiction.

Having clearly stated the principles and policies of our ministry, we welcome the opportunity to minister to you in the name of Christ and to be used by Him as He helps you to grow in spiritual maturity and prepares you for usefulness in His body. If you have any questions about these guidelines, please talk with a pastor or elder. If these guidelines are acceptable to you, please type initials in space indicated on form.

By initialing here, I am indicating that I have read and agree to the terms of the informed consent. My initials act as my signature.

I still have questions about this consent form and/ or are unable to commit to these requirements at this time.

Would you like to be notified about upcoming Soul Care groups or classes?

Yes No

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