Biblical Counseling Agreement Form

Counseling Agreement

Please, read through each item listed on this form, and click the box below each listed item to confirm you have read and agree to our process of Biblical counseling.
1. Biblical Counseling at Erieside Church may take place along with outside counseling. However, if the counselee is involved with more than one counselor and conflicting views become confusing, the counselee must decide whether to discontinue outside counseling relationships until counseling at Erieside Church is concluded or to discontinue counseling relationship at Erieside Church. This is for the counselee’s benefit and clarity of mind.  (Required)
2. Counseling will be done by one of our staff counselors. Recordings of sessions may be made, but not released (except to Counselor's Supervisor for periodic review).(Required)
3. The counseling you receive will be biblical counseling in which the Scriptures are the final authority in all cases. All counseling will be conducted in accordance with the counselor’s understanding of the Scriptures.(Required)
4. If you are not sure whether or not you will be interested in Bible-based counseling, you have the option of attending one or two sessions to discover what biblical counseling is and then determine if you want to continue.(Required)
5. It should be understood that biblical counseling consists of the giving of scriptural advice and the practical application of the same to each person. The counselee is held fully responsible for how he or she implements that advice.(Required)
6. If at any time you are unwilling to implement the counseling principles into your life or unwilling to do the homework assigned, sessions will be discontinued.(Required)
7. You are expected to attend a Christ-centered, Bible teaching church regularly for at least the duration of counseling sessions. If you are not currently attending a church, we will be glad to make a church recommendation to you.(Required)
8. If you are already a member of a church, we recommend you inform your pastor or an elder that you are receiving biblical counseling at Erieside Church. We recognize and respect the authority of your church insofar as it strives to follow biblical principles in discipling and counseling its members. Therefore, we hope to involve your church and pastoral staff in the implementation of your spiritual care should the need arise.(Required)
9. Confidentiality is an important aspect of the counseling process, and we will carefully guard the information you entrust to us. However, absolute confidentiality is not Scriptural. In certain circumstances the Bible requires that facts be disclosed to selected others (e.g., pastoral staff members) involved in your spiritual oversight (Hebrews 13:17). If your church leadership should inquire, we will disclose to them only that information we believe is necessary for them to possess in order to fulfill their duty to provide adequate spiritual care for you (Acts 20:28). Please be assured that counselors prefer not to disclose personal information to others, and we will make every effort to help you resolve problems as privately as possible.(Required)
10. At any time during counseling the counselor or the counselee shall have the option of terminating counseling.(Required)
11. We do not charge a formal fee for counseling. This is a calling for us, not a profession. We do not want to have financial hardship stand in the way of someone receiving the counseling they need. However, for those who have both the ability and the desire to contribute to the work of this ministry, any contribution made to Erieside Church in the name of "Biblical Counseling/Discipleship" is appreciated.(Required)
12. If a conflict should arise between the counselee and the counselor, both parties agree to resolve the dispute outside the secular court system by means of biblical reconciliation under submission to, and the direction of, the elder board of the counselor’s church and in cooperation with the pastoral leadership of the counselee’s church (1 Corinthians 6:1-8).(Required)
13. We are confident that the Bible has all the information necessary for life and godliness (2 Peter 1:3). There are no problems between persons that the Bible fails to address either in general principles or specific directives. While the counselor does not profess to know all there is to know about biblical teaching and its application to life, nevertheless, they have studied the Bible and how to apply Scripture to everyday life. We will do our utmost to help you do the same. We will also make a point of differentiating between God’s commands and our suggestions. The counselor will also honestly tell you if they are stymied and will seek qualified assistance from others if it becomes necessary.(Required)
14. We do not give medical or legal advice.(Required)

We welcome the opportunity to help you in whatever way we can. If you are interested in receiving biblical counseling from Erieside Church and are in full agreement with the conditions stated above, please sign below as indicated.

You may also be asked to sign a physical copy of this document at your first session.