Consent Forms - Agape Christian Counseling

For services supplied by us, please fill out and send in the attached consent form: ACC Release Form

A copy of the consent form will be downloaded to your computer. Please fill this out and send it to us at:

US MAIL:

Agape Christian Counseling
P.O. Box 2365
North Canton, Oh 44720

In addition to completing the RELEASE FORM above, please provide us with information about yourself below on this CLIENT INTAKE FORM and submit that to us. It will be emailed directly to us. We will need both pieces of information before providing any services.