This is a secure form. All data is encrypted for your protection.
This form is ONLY to request formal counseling.
SUBMIT THIS HELP REQUEST FORM **ONCE ONLY**
If it is necessary, for any additional communication after submitting
your Help Request, please use our
SPCDC Contact Form.
Please do not submit prayer requests on this form.
If you have a prayer request please go to the Prayerbooks.
Please do not use this form to ask questions about spiritual warfare.
Please post questions on our
Q & A Forum.
SPECIAL NOTE: This form is to request assistance on
spiritual matters. If you are in emotional crisis or suicidal and need someone to talk to please
contact your local Crisis Center Hotline, or go toNational Crisis
Hotlines Index to find a National Hotline who can talk with you.
NOTE CONCERNING COSTS AND FEES:
Our Counseling Services receives donations from the general public which allows us to offer
our services FREE-OF-CHARGE to the client.
Our staff is available for limited travel for on-site
investigations and counseling to the client's house or location or to provide intense
on-site counseling. We may or may not, however, have the funds to allow for travel. If at
the time funds are not available our staff may still travel if the client bears the burden
of all out-of-pocket travel expenses (such as gasoline, air/bus/train fare, food and
lodging). Thus, if we do not have travel funds available at the time, the only required
cost to the client isout-of-pocket travel expenses.
Clients may, in some cases, arrange to travel to our offices at their own expense.
NOTE:At this time we do not have a bi-lingual
or multi-lingual ability. Thus we are sorry for the inconvenience but to receive
assistance from our agency you must be able to speak, read, and write English fluently