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  • Client Intake Form

  • Counselor's Name: Shelia Middleton

    Organization Name: SOZO⚡️WHOLESOME SERVICES

    Phone Number: (678) 330-3723

    Email Address: ambassadorsinlove@gmail.com

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  • Social & Environmental Factors

  • My 1st Rule Of Counseling COVENANT Confidence IS: The GOLDEN RULE Is GOLD!"EN" I, Shelia Middleton, Your Counselor, Purpose and Promise to KEEP Every Word spoken by you, my client, Confidential, unless you give consent iN writing to disclose information. Scenarios where confidentiality can be broken: *If you present an imminent threat of harm to yourself or others *If you have known indication of abuse of a child, dependent adult or elderly adult *If you find yourself in a situation of having thoughts of harming yourself or someone else. In all these potential cases, we both can make the necessary calls for HELP to prevent further harm.

    I COVENANT to maintain confidentiality throughout our Counselor/Counselee relationship by working with you to customize a plan for HELP, HOPE, & HEALING. I may also involve other competent parties in your healing regimen if necessary.

    As THE GREAT PHYSICIAN and THE MIGHTY COUNSELOR, HOLY SPIRIT counsels through me, I, Shelia Middleton, am not personally responsible for the outcome of each counseling session. I am here for you to help you explore and manage your personal issues. Much like the "woman with the issue of blood," once she touched the hem of JESUS' garment, she was made WHOLE. I can help lead you to HIM'S HEM, but I can not force you to touch HIM. Your Counseling experience can be short lived OR long lived. The question is: Do You REALLY Want To Be Made WHOLE? Without your FAITH iN THE ONE WHO makes you WHOLE, WHOLENESS Will Not Manifest For You! Therefore, I am here to HELP but I am Not THE HEALER! I am here to LISTEN but Iam Not THE LIFE GIVER!

    I am here to CONVERSE but I am Not THE COMFORTER! Let GO! Allow "THE" COMFORTER To "BE" Your COUNSELOR!!!

    By signing below, you agree to participate in counseling services and understand that this information is used to guide your treatment and help develop an appropriate healing plan.

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