A decision to ask for help through counseling is an important one. It requires a partnership between you and your counselor. In order for us to best assist you in your journey, please download, complete, and submit the appropriate forms below. You may submit the forms via email at counseling@fbcjax.com or bring them to the Grace Center Office. Once your completed forms are received, we will contact you about an appointment.

Digital Forms

Use the buttons below to download forms you may complete digitally with Adobe Reader. Once you've entered all your information be sure to save it before submitting to us.

Personal Data Inventory Form

Consent to Counseling Form

Non-Members Only

In addition to the forms above, if you are not a member of FBC JAX please complete the following: