I understand that the staff of the Indiana Biblical Counseling Center, Inc. (hereafter known as IBCC) and those associated with them are not professional or licensed counselors, therapists, psychiatrists, medical or psychological practitioners, or if they are licensed in one of these areas, they are not practicing within this area.

I understand that the persons counseling me are "pastoral counselors" in the Christian faith, who are helping me assume my responsibilities in finding freedom in Christ.

I understand that my family's counseling, phone calls, financial payments, and file contents are confidential. IBCC may not release any of this information without my written consent, unless required by law. I also understand that any IBCC representative must comply with these confidentiality policies.

I understand that my pastoral counselor may need to intervene if he or she suspects that a child (under the age of 18) is currently endangered by abuse, or if there is suspected dependent adult abuse, or if I am a danger to myself or to others.

I understand that I am free to discontinue this pastoral counseling at any time and that I am here voluntarily.

I understand that I am under no financial obligation.

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