New Clients
Thank you for your interest in Daymark Pastoral Counseling. To make a new client appointment request, please call our office, email our administrator, or use the form below.
New Client Forms
We are grateful you have chosen to seek counseling through Daymark Pastoral Counseling. Please fill out and sign the following forms and bring them with you to your first session. If you and your spouse are coming for counseling, each person needs to fill out one of each form noted below.
- General Information (*select the counselor you are meeting below)
- Financial Agreement/Cancellation Policy
- Personal Profile or Adolescent Profile
Thanks again for your interest in Daymark Pastoral Counseling!
- General Information (Gordon Bals)
- General Information (Bill White)
- General Information (Eric Venable)
- General Information (Betty Carter)
- General Information (Erroll Lewis)
- General Information (Stacy Barnes)
- General Information (Rachel Wood)
- Consent/Release
- Financial Agreement/Cancellation Policy
- Personal Profile
- Adolescent Profile
- Third Party Payment Form
- Directions to Daymark Office