Being a part of a local church is more than just sitting in rows on Sundays. It’s about getting connected to others who encourage and challenge us as we learn more about faith in Jesus.
INTAKE FORM PASTORAL CARE:
Please complete and sign this intake form prior to your scheduled appointment.
Welcome to Pastoral Care at Mount Ararat, where we seek to offer Biblically based, Christ-centered, pastoral counseling, while addressing many common issues of life. Staff counselors consist of ordained ministers with formal counseling training (pastoral counselors). In this kind of discipleship process, the Holy Spirit, not the pastoral care leader, is the agent of individual change—provided one cooperates with Him.
Our goal is to help co-create solutions for personal change by utilizing helping skills, prayer, Scripture, and spiritual/Biblical principles. Together, we desire to grow and mature in the imitation of the Christ (Eph. 5:1).
Mount Ararat’s pastoral counselors do not possess professional licenses or certifications issued by the State of Virginia for the practice of professional counseling, marriage and family therapy, or social work specialties. Referral options to outside professional licensed providers are available upon request and given when care/counseling issues are beyond the comfort and or ability level of Mount Ararat pastoral counselors.
This ministry does not claim to meet any counseling requirements for court/probation/parole-mandated counseling. We do not render any financial, legal, or medical opinions and or advice.
Limitations of Confidentiality:
It is understood (and agreed) that all statements, whether written or verbal, with your Pastoral counselor, is of a confidential nature and ethically cannot be disclosed, without written consent; however, the following exceptions may result in confidentiality being waived per local, state and federal laws:
Resolution of Disagreements: If a dispute should arise between the person receiving care and the pastoral counselor (and/or the church) regarding the pastoral counselor’s advice or conduct, one should bring this dispute to the attention of the Mount Ararat leadership (Campus Pastor or Senior Pastor). If the dispute cannot be resolved at this level, all parties agree to resolve such disputes by submitting to the Mount Ararat Elders for full and final resolution and conciliation
Waiver of Liability: In consideration for receiving any form of counseling from the Pastoral Care Ministry of Mount Ararat, the person receiving the counseling agrees to release and waive any and all claims of any kind against the ministry, the staff or the Church, which may arise from, result out of, or be related to, conduct or advice given.
Counseling Files: All counseling files and their contents belong to the Pastoral Care Ministry.
Availability: Our ministry at times, carries an extensive waiting list. Members of Mount Ararat are given priority on our waiting list. We will gladly see non-members if our schedule allows. If our waiting list is prohibitive, we will offer outside referral options. Our ministry is available on an appointment basis.
Session Duration: Length of Counseling may extend up to four sessions. Extending beyond four sessions will require the counselor’s recommendation and supervisor’s approval. A typical session is 60-90 minutes.
Cancellations or Reschedules: We carry an extensive waiting list, therefore if you need to reschedule or cancel an appointment, we ask that you call at least 24 hours in advance. This allows us to reschedule others who are on our waiting list. Repeated 4 failure to keep appointments (2 cancellations or no-shows) or give proper notice of cancellation will result in termination of sessions.
Homework: Be advised that your pastoral counselor will likely assign homework. Homework is a vital part of the change process; therefore, completion of the homework assignments before your next session is expected.
What is expected of you? We ask you to approach the counseling process as an opportunity for personal change and spiritual growth. We ask that you refrain from the temptation of focusing on others, and instead ask you to focus on what changes God desires to make in your life.
I have carefully read this information sheet and agree to all the stated terms and conditions. I also agree that all the information on my personal data form is true and complete to the best of my knowledge.
APPOINTMENT & SCHEDULING
Thank you for taking the time to fill out this information sheet. Please ensure this intake form has been submitted to your pastoral counselor prior to the first appointment. If you are unable to make the scheduled appointment, contact the pastoral counselor or the church (540.659.2554) 24-hours prior to the appointment.
At Mount Ararat we believe it is important to educate families and individuals how to become successful and independent regarding financial matters. Because of this, we offer as one of our Semester Groups, Financial Peace University (FPU). We strongly suggest you commit to attend and complete the next FPU group. This group is offered to anyone seeking to get a better handle on personal and family finances.
Even with financial planning, we understand unexpected life events or family crises arise. We are committed to providing limited financial assistance to those actively involved at Mount Ararat experiencing such as season.
If you are requesting financial assistance please complete the following.
Process of Benevolence
Financial assistance is NOT guaranteed to every applicant.
The benevolence Team meets usually once per week. Most requests can be processed within two-three week. Check are processed within 10 days of approval.
Financial assistance is limited to one time per year; however, in extenuating circumstances, additional consideration may be given. To qualify for additional assistance with a 12-month period, applicants must have completed Financial Peace University.
Individuals requesting assistance will receive and email confirmation and a request for additional information may be required. No consideration will be given until all information is received.
With my electronic signature below, I acknowledge I have read the guidelines and process and will provide additional information as requested by the Benevolence Team to help determine if any assistance will be extended.