LEt’s start

Name *

First Name

Last Name

Phone *

(###)

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Preferred Form of Contact *

Check all that apply

Phone

Email

Text Messages

Emergency Contact *

In case of sudden illness or accident

First Name

Last Name

Phone *

(###)

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*

Children

Yes

No

*

Have you ever participated in Spiritual Direction before?

Yes

No

*

What spiritual practices have been meaningful in your journey with God? Check all that apply.

Prayer

Meditation

Lectio Divina

Journaling

Community

Service

Silence

Solitude

Retreat

Other

Purpose Statement:You are meeting with me as your Spiritual Director because you want to reflect on your life with Christ. While we may at times discuss psychological or relational challenges as they relate to your spiritual journey, I am not a psychotherapist and do not provide therapy. Likewise, spiritual direction is not financial or relationship counseling, and any decisions you make in those areas are solely your responsibility. My role is to walk with you in seeking God’s presence and guidance. You are called to listen to the Holy Spirit within you and seek wisdom from other faithful followers of Christ. *

I have read and agree with this purpose for meeting.

Confidentiality Agreement: I will keep our conversations confidential and treat them with respect. As part of my commitment to growth as a Spiritual Director, I meet with a supervisor several times a year. During these sessions, I may share insights from my direction work, but I never disclose names or identifying details. However, there are a few circumstances where I may be required to share certain information: 1. If I am legally obligated to do so by law or a court order. 2. If I suspect the abuse of a child, elder, or dependent adult. 3. If I become aware of a serious ethical violation by a Spiritual Director or another helping professional. Even in these cases, I will make every effort to protect your identity and the private nature of our conversations to the extent possible for me. My goal is to provide a space where you can freely explore your relationship with God, knowing that what you share is held with care and discretion. *

I have read and agree with with confidentiality statement .