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 follow the instructions for completing the forms below. You may complete the forms online, or print and submit the forms via email at counseling@fbcjax.com, or bring them to the Grace Center Office located at 600 North Main Street, Jacksonville, FL. Once all required forms are completed and received, we will contact you about an appointment.

STEP 1: Choose an option below.

I want to complete the forms online.

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

Biographical Form

Personal Data Form

Consent to Counseling

I want to print and complete the forms by hand.

Use the buttons below if you prefer to print and complete your forms by hand. Both forms must be completed.

Personal Data Inventory

Consent to Counseling

STEP 2: (Non-Members Only)

In addition to the forms above, if you are not a member of FBC JAX, please be sure the following forms are completed. Choose an option below to proceed.

I want to complete the forms online.

To be completed by you:
Counseling Fee Agreement

To be completed by your pastor:
Church Recommendation

To be completed by your friend (advocate):
Advocate Agreement

I want to print and complete the forms by hand.

To be completed by you:
Counseling Fee Agreement Form

To be completed by your pastor:
Church Recommendation

To be completed by your friend (advocate):
Advocate Agreement Form