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Salt & Light Ministry

Service Request Form

Please fill out the following information to help us get to know your needs. You will be contacted from one of our team members for a Discovery Call after submitting this form. We will have a brief chat (15-20 minutes) with you first and then discern as a team if we are able to serve your needs. If not, referrals will be recommended. 


Disclaimer: Please note our services are not licensed counseling services that involve diagnosis or medical advice. Our services mainly focusing on helping individuals, couples, families or groups to improve personal, spiritual and relational growth. 

Are you currently receiving counseling/psychiatry services? Or have you had a history of seeking these type of services?
Yes
No
How did you hear about our ministry?
Interested services
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