{"id":1290,"date":"2024-04-28T15:16:00","date_gmt":"2024-04-28T15:16:00","guid":{"rendered":"https:\/\/christcovenant.cc\/?page_id=1290"},"modified":"2024-04-28T15:16:00","modified_gmt":"2024-04-28T15:16:00","slug":"counseling-intake-agreement","status":"publish","type":"page","link":"https:\/\/christcovenant.cc\/?page_id=1290","title":{"rendered":"Counseling Intake Agreement"},"content":{"rendered":"\n<p><strong>Counseling Agreement Form<\/strong><br>The following outlines several conditions upon which counseling cases will be initiated. While<br>this is not meant to be exhaustive in scope, it does represent our philosophy of biblical<br>counseling, a vital aspect of the shepherding ministry of Christ Covenant Church.<br><strong>Our Goal<\/strong><br>Our goal in providing biblical counseling is to help you meet the challenges of life in a way that<br>will please and honor the Lord Jesus Christ and allow you to enjoy His love and His plans for<br>your life. We\u2019re glad that you\u2019re taking this important step to seek godly counsel. No matter what<br>your situation, this is a time in your life that the God of all creation knows and understands<br>completely and therefore, there is great hope! This form allows us to communicate some of our<br>perspectives and convictions which we believe honors God and will help you.<br><strong>Biblical Basis<\/strong><br>We believe that the Bible provides thorough guidance and instruction for faith and life. (2 Peter<br>1:3; Romans 15:4) Therefore, our counseling is based solely on scriptural principles rather than<br>those of professional Psychology or Psychiatry.<br><strong>Not Professional Advice<\/strong><br>I understand and agree that Christ Covenant will only be providing spiritual guidance and<br>biblical support and cannot provide mental health, clinical, or diagnostic Psychotherapy. If you<br>have significant legal, financial, medical or other technical questions, you should seek advice<br>from independent professionals not associated with Christ Covenant Church.<br>By signing this \u201cConsent to Biblical Counseling\u201d agreement, I do hereby waive, release, and<br>discharge Christ Covenant Church from any liability and all injuries, whether emotional or<br>physical, which I may sustain while enrolled in Christ Covenant Church counseling. I do state<br>my intention to waive any such claims and never assert any claim of any motive against Christ<br>Covenant Church or the Counseling ministry of Christ Covenant Church.<br><strong>Confidentiality<\/strong><br>Confidentiality is an important aspect of the counseling process, and we will carefully guard and<br>protect the information you entrust to us. For your own safety and for the protection of other<br>individuals whether directly or indirectly, there are some certain exceptions to this policy when it<br>may become necessary for the counselor to share particular information with others:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>If during the course of counseling, the counselor and or the leadership of Christ Covenant<br>Church determines that a threat of physical harm to the counselee or to another person is<br>imminent (including Child, Sexual, or Elderly abuse), the appropriate individuals and authorities<br>will be notified, by law, in accordance with following Florida Statutes: FS 39.201; FS 39.202; FS<br>39.204; FS 490.0147; FS 491.0147.<\/li>\n\n\n\n<li>When a counselor is uncertain of how to proceed or address a particular problem and needs to<br>seek counsel and guidance from the Senior Pastor and or Elders of Christ Covenant Church.<\/li>\n\n\n\n<li>Criminal incidents which are revealed or come to be known during the course of the<br>counseling relationship that endanger the counselee, family members, church members, or other<br>individuals.<br><strong>Resolution of Conflicts<\/strong><br>On rare occasions where a conflict may arise between counselor and counselee:<br>In order to make sure that any such conflicts will be resolved in a biblically faithful manner, we<br>require all of our counselees to agree that any dispute that arises with the counselor or with<br>Christ Covenant Church as a result of counseling, will be settled with mediation within the<br>church according to the principles of scripture and the authority\/leadership body of this local<br>church.<br><strong>Termination of Counseling<\/strong><br>At any time during the counseling process, for reason(s) sufficient to him\/her, the counselee, or<br>the counselor, shall have the option of terminating the counseling relationship.<br><strong>Fees<\/strong><br>This is a grace ministry of Christ Covenant Church and as such, there are no fees associated for<br>members of this Church.<br>Having clarified the principles and policies of our counseling ministry, we welcome the<br>opportunity to come alongside you in the name of Christ to bring help and hope, and to seek<br>God\u2019s transformational work in your life.<br><\/li>\n<\/ol>\n\n\n\n<p>If you have any questions about these guidelines, please speak with one of the elders. If these<br>guidelines are acceptable to you, please sign below.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-6d707dba-af75-440a-8a9d-16ea78c73096\" id=\"wpforms-1283\"><form id=\"wpforms-form-1283\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1283\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1290\" data-token=\"088b4ff833de4be9d7d2fa08c51199fa\" data-token-time=\"1776304754\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1283-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1283-field_1\">Signature<\/label><input type=\"text\" id=\"wpforms-1283-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" ><\/div><div id=\"wpforms-1283-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1283-field_3\">Date<\/label><input type=\"text\" id=\"wpforms-1283-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1283\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/pages\/1290\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1283\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/christcovenant.cc\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Counseling Agreement FormThe following outlines several conditions upon which counseling cases will be initiated. Whilethis is not meant to be exhaustive in scope, it does represent our philosophy of biblicalcounseling, a vital aspect of the shepherding ministry of Christ Covenant Church.Our GoalOur goal in providing biblical counseling is to help you meet the challenges of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_editorskit_title_hidden":false,"_editorskit_reading_time":0,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","footnotes":""},"class_list":["post-1290","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"featured_media_urls":[],"_links":{"self":[{"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/pages\/1290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/christcovenant.cc\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1290"}],"version-history":[{"count":1,"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/pages\/1290\/revisions"}],"predecessor-version":[{"id":1292,"href":"https:\/\/christcovenant.cc\/index.php?rest_route=\/wp\/v2\/pages\/1290\/revisions\/1292"}],"wp:attachment":[{"href":"https:\/\/christcovenant.cc\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}