Family Counseling

Please fill out the form below as detailed as possible so that we can get you lined up with the most appropriate avenue of healing.

Name

First Name

Last Name

Phone

(###)

###

####

Age

Please list names of family members and ages:

Are you a member of Center Point Church?

Yes

If not, how often do you attend?

Have you previously met/spoken with a leader from Center Point about your situation?

Yes

Reason for seeking help

Family strengths

Family risks and concerns

Counseling goals