How do I get started?

To get started, please download and fill complete these two intake forms.
Please Print them and bring them to your first appointment with your biblical counselor.
(If you do not have a printer, no worries. We have extra at our offices. Please come 15 minutes early in order to complete them.)

Thank you! St. John Missionary Baptist Church Staff

Consent Form


We would like you to know that our counseling is distinctly Christian and that our counselors are not certified by the State of California. We are not licensed medical professionals, but instead are “pastoral counselors”, lay-counselors who offer care as a church ministry .

Please read this Informed Consent thoroughly, ask us any questions you may have, and sign and date it prior to your first counseling session (you may do so electronically, or bring a signed copy with you

Personal Data Inventory


The personal data inventory(PDI) asks you to complete information such as family background, health information, religious background and your goals for counseling. If you don’t feel comfortable answering any part of this form, leave that portion blank and you can discuss it privately with your counselor.