“The thief comes only in order to steal and kill and destroy. I have come that you may have life, and have it in abundance (to the full, till it overflows)!” — Jesus (John 10:10)

“But when anything is exposed by the light, it is made visible and clear; and where ev­ery­thing is visible and clear there is light. Therefore He says, Awake, O sleeper, and arise from the dead, and Christ shall shine (make day dawn) upon you and give you light!
— Apostle Paul (Ephesians 5:13-14)

“Awake, my glory[my inner self]!”
— King David (Psalm 57:8)


Disclosure information and
Agreement to the Counseling Process


Prayer Counseling
The model of
Prayer Ministry Counseling is primarily pastoral. My training has been both aca­demic (7 years University, B.A. in Human Services) and pastoral (Elijah House Schools, Internship & Staff; Church lead­ership), as well as deep/life ex­pe­rience through tragedy and transformation. All coun­seling is based on prin­ciples of scripture and dependent on the Holy Spirit’s presence, giftings and anointing. The process of coun­seling will include coming to understand the bitter roots of prob­lems, forgiving those who’ve sinned against you, and receiving forgiveness for judging them.

Counseling Service Payment
Suggested payment is $100.00 per 90 minute session. If a shorter or longer appointment is desired, my hourly rate is $66.00 per hour. Please pay at the time of service unless prior arrangements have been made. Payment is expected for missed appointments or any cancellation with less than 24 hours notice.

Insurance
Your Insurance may or may not allow payment for my services. It is the counselee’s re­spon­si­bility to consult with their insurance carrier. Some find coun­seling payments to be tax deductible under ‘medical expenses’ — contact your tax consultant.

Satisfaction or Non-satisfaction of Services Rendered
The Holy Spirit is 100% dependable, as is God’s Word. Human error in appli­cation, however, leaves the outcome of the counseling process without 100% guar­an­tees. Therefore, it is understood as the counselee enters into a relationship with the coun­se­lor, that
Prayer Counseling provides an oppor­tu­nity for healing in which the out­come depends on a number of factors. Readiness for the counseling process cannot insure what your response will be to discovery of trauma. So, we agree at the outset that the risk of pain in identifying the roots of behaviors, is a worthy risk weighed against the value of preventing patterns of hurt in life from going on and on! The counselee, of course, always has the privilege of ter­mi­nation at any time for any reason. The counselor may refuse counseling services or refer clients as deemed necessary.

Permission, Confidentiality, Duty to Report
It is with this understanding that the undersigned does enter into the counseling relationship and assumes the responsibilities as set forth.

I do hereby give permission for the counselor to consult with other Counseling pro­fessionals as needed (names are not used). I understand my right to con­fi­den­ti­ality will be respected. No in­for­mation shared will be dis­closed without my written con­sent unless as preempted or required by law. The legal duty of care imposed on the counselor is to report:
a) Instances of physical or sexual abuse to a child
b) Reasons to believe the patient may harm another person or may be immi­nently suicidal.

AGREED AND ACKNOWLEDGED BY:



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