COUNSELING REQUEST

At Ocean City Church, we have pastors, Elders, and staff available to help counsel those in our church family who need extra support. Depending on individual counseling needs and pastoral resources, we may refer you to a counselor or therapist from our list of trusted professionals to whom we refer individuals in need of counseling, therapy, or coaching.

Please fill out the request below, and we will be in touch with more information.

Name

First Name

Last Name

Phone Number

(###)

###

####

Counseling Request

What type of counseling are you requesting?

Please check all that apply.

Licensed Professional Counselor/Therapist

Life Coach

Pastoral counseling/prayer w staff member

Please describe your need for counseling.

Additional Details

Additional Request: Prayer Ministry

Would you like a Prayer Minster to call you to receive prayer ministry over the phone?

Yes

Do you attend Ocean City Church?

If so, how long have you been attending?

Are you an Anchor at Ocean City Church?

Are you in a City Group?

If yes, please let us know which one.

Is there anything else you'd like us to know?