Grace counseling online
New Client Appointment Request
Informed consent
Ministry Statement of Beliefs
My Personal Code of Ethics
Grace counseling teletherapy
client-portal
Admin panel
Informed Consent for Christian Counseling
Informed Consent for Christian Counseling
Grace Counseling Services
Client Information
Full Name *
Date of Birth *
Phone Number *
Email Address *
Address
Emergency Contact
Name *
Phone Number *
Relationship to Client *
Understanding of Christian Counseling
I understand that Christian counseling integrates biblical principles and faith-based perspectives with professional counseling techniques.
I understand that prayer, Scripture, and spiritual guidance may be incorporated into my counseling sessions.
I understand that I am free to decline any spiritual interventions that make me uncomfortable.
I understand that my counselor's recommendations will be based on Christian values and biblical teachings.
Confidentiality and Limits
I understand that information shared in counseling sessions is confidential, except where required by law.
I understand that confidentiality may be broken if there is imminent danger to myself or others, or in cases of suspected abuse.
I understand that my counselor may consult with supervisors or colleagues while maintaining my confidentiality.
Consent and Agreement
I voluntarily consent to participate in Christian counseling services.
I understand the nature and purpose of Christian counseling and agree to participate actively in the process.
I understand that I may terminate counseling at any time and will communicate my decision to my counselor.
I acknowledge that no guarantee has been made regarding the outcome of counseling.
Digital Signature and Date
Client Digital Signature (Type Full Name) *
Date *
Additional Comments or Questions
Submit Informed Consent Form