Pastoral Care Request Form

Please complete this form if you are interested in receiving some level of care through Epikos Church.

Please be aware that we will discern alongside you the level of care needed. After filling out this form, you'll be sent an email to schedule a meeting with your Campus Pastor, Pastor Jacob Michalski, or Laura Kraft.

Your name *

Email address *

Gender *

Phone number *

Primary campus *

How long have you been attending Epikos? *

Care Assessment

Are you currently or have you recently been in a small group at Epikos? *

Yes

Other

As much as you feel comfortable, please share about your current need for care. *

What level of care are you seeking? *

We will help discern this upon following up.

Pastoral Care from Epikos Pastor

Professional Counselor

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