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.

Online Forms

Use the buttons below to complete your forms online. All 3 forms must be completed.

Biographical Form

Personal Data Form

Consent to Counseling

Non-Members Only

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