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Request New Client Paperwork

Thank you for considering the Pastoral Institute for your counseling needs.  We have a new intake process for contactless registration for new clients and returning clients that have not filled out paperwork in the last 12 months.  

*NOTE: If you are seeking couples counseling, only one person needs to fill out intake paperwork.

1.  Fill out the below form requesting our digital intake paperwork.  You will get an email with a link to the digital paperwork. 

2.  The digital intake paperwork takes about 20 minutes to complete.  You will need a photo of your ID and both sides of your insurance card to complete. 

3. Submit paperwork.  We will contact you in 3-5 business days to schedule you with one of our qualified clinicians.  

First Name
Last Name

*This is a request to schedule a future appointment with a counselor.  If you are experiencing an emergency or crisis, please dial 911 immediately.  You can also reach the National Suicide Prevention Lifeline at 1-800-273-8255.

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