Pre- Marital Counseling Marriage Counseling Marriage Counseling Husband * First Name Last Name Wife First Name Last Name Email * Phone (###) ### #### What seems to be the primary reason for needing marriage counseling? * Pre Marital Counseling Marriage Counseling Have you received counseling before? * Yes No Your meeting request with Dr. John R. Adolph has been received. Meeting Request With Pastor Adolph Meeting Request Form Name * First Name Last Name Phone (###) ### #### Email * All scheduled meetings will be virtual. Unless instructed by Pastor Adolph to do otherwise. Purpose for the meeting * All information submitted is confidential. Please note that a clear purpose for the meeting must be provided before anything can be scheduled. This is allow Pastor Adolph to be better prepared for your time together. What are you expecting to gain from your time together? * In the event that Pastor Adolph is not available to meet with you as quickly as you’d like, are you open to speaking with another member of his staff or ordained Minister per his referral? * Yes, that would be fine. No thank you. Thank you!
