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.

Attention Non-Members

While our biblical counselors are very happy to meet with both FBC JAX members and non-members, we prioritize FBC JAX members.

Due to the current waiting list, we are unable to accept non-members. We recommend going to the ACBC website to find a biblical counselor who can meet with you in a more timely manner. Thank you.

FBC JAX Members: Choose an option below.

I want to complete the forms online.

Select one of the options below to complete your application online. (If you are under the age of 18, please selection the Counseling Application for Minors.)

Counseling Application for Adults

Counseling Application for Minors

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.

Counseling Application
If you are under the age of 18, click here to access the application for minors.

Informed Consent Agreement