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  • No-Cost Therapy Services

    by a Friends University Graduate Student
  • Christ Church Anglican is pleased to host students from the Friends University Master of Science in Family Therapy program to offer no-cost therapy services provided by one of their graduate student therapists. Please complete this intake form so we can know of your interest in counseling/therapy services and provide you with the best support. After the form is submitted, you will be notified about the next steps. Please note: This form is used to indicate your interest in receiving therapy services. If the therapist reaches capacity, potential clients may be put on a waitlist or offered other referrals.

    If you have questions, contact our Pastor of Community Care, Amanda Goin-Burgess, at 913-648-2271.

     

    If a situation is potentially life-threatening, please call 911 for immediate assistance. If you or someone you know is suicidal or in emotional distress, contact the Suicide & Crisis Lifeline by calling or texting 988.

  • Parent/Legal Guardian Information

  • Client Information

    Please provide information about the person(s) seeking therapy services.
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  • Acknowledgement

    By submitting this form, I understand that I am applying to receive free counseling/therapy services from a Friends graduate student therapist. All information submitted on this inquiry form will be kept in strict confidence and will be visible only to the following individuals who manage requests and/or the waitlist: Amanda Goin-Burgess (Pastor of Community Care), Jason Veach (Pastor of Spiritual Formation), and Morgan Mills (Site Mentor). Finally, I understand that Morgan Mills will be supervising the student therapist at this site and will have access to clinical documentation.
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