Christian Counseling Network

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Phone Number* This field is required.

Area Code

Phone Number

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Do you freely and fully affirm the Essential Truths of Christianity as described in the Athanasian Creed?* This field is required.Remember that "catholic" with a small c means all of God's people after Christ, not the Roman Catholic Church. Whoever desires to be saved should above all hold to the catholic faith. Anyone who does not keep it whole and unbroken will doubtless perish eternally. Now this is the catholic faith: That we worship one God in trinity and the trinity in unity, neither blending their persons nor dividing their essence. For the person of the Father is a distinct person, the person of the Son is another, and that of the Holy Spirit still another. But the divinity of the Father, Son, and Holy Spirit is one, their glory equal, their majesty coeternal. What quality the Father has, the Son has, and the Holy Spirit has. The Father is uncreated, the Son is uncreated, the Holy Spirit is uncreated. The Father is immeasurable, the Son is immeasurable, the Holy Spirit is immeasurable. The Father is eternal, the Son is eternal, the Holy Spirit is eternal. And yet there are not three eternal beings; there is but one eternal being. So too there are not three uncreated or immeasurable beings; there is but one uncreated and immeasurable being. Similarly, the Father is almighty, the Son is almighty, the Holy Spirit is almighty. Yet there are not three almighty beings; there is but one almighty being. Thus the Father is God, the Son is God, the Holy Spirit is God. Yet there are not three gods; there is but one God. Thus the Father is Lord, the Son is Lord, the Holy Spirit is Lord. Yet there are not three lords; there is but one Lord. Just as Christian truth compels us to confess each person individually as both God and Lord, so catholic religion forbids us to say that there are three gods or lords. The Father was neither made nor created nor begotten from anyone. The Son was neither made nor created; he was begotten from the Father alone. The Holy Spirit was neither made nor created nor begotten; he proceeds from the Father and the Son. Accordingly there is one Father, not three fathers; there is one Son, not three sons; there is one Holy Spirit, not three holy spirits. Nothing in this trinity is before or after, nothing is greater or smaller; in their entirety the three persons are coeternal and coequal with each other. So in everything, as was said earlier, we must worship their trinity in their unity and their unity in their trinity. Anyone then who desires to be saved should think thus about the trinity. But it is necessary for eternal salvation that one also believe in the incarnation of our Lord Jesus Christ faithfully. Now this is the true faith: That we believe and confess that our Lord Jesus Christ, God's Son, is both God and human, equally. He is God from the essence of the Father, begotten before time; and he is human from the essence of his mother, born in time; completely God, completely human, with a rational soul and human flesh; equal to the Father as regards divinity, less than the Father as regards humanity. Although he is God and human, yet Christ is not two, but one. He is one, however, not by his divinity being turned into flesh, but by God's taking humanity to himself. He is one, certainly not by the blending of his essence, but by the unity of his person. For just as one human is both rational soul and flesh, so too the one Christ is both God and human. He suffered for our salvation; he descended to hell; he arose from the dead; he ascended to heaven; he is seated at the Father's right hand; from there he will come to judge the living and the dead. At his coming all people will arise bodily and give an accounting of their own deeds. Those who have done good will enter eternal life, and those who have done evil will enter eternal fire. This is the catholic faith: one cannot be saved without believing it firmly and faithfully.

YESNO

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Do you freely and fully affirm that the Bible is the inspired, trustworthy, and authoritative Word of God?* This field is required.

YESNO

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Do you freely and fully affirm that Biblical marriage can only be between one biological man and one biological woman?* This field is required.This does not preclude offering services to people with different values, that would be unethical and un-missional. This is because we need to know where you stand.

YESNO

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Which of these best describes you?* This field is required.

Independently licensed in a mental health profession

Provisionally licensed in a mental health profession (Associate)

Graduate level intern in a mental health education program

Behavioral Health Coach

None of these

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What is your license number?* This field is required.

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Are you willing to practice under the code of ethics of the American Association of Christian Counselors, even if you are not a member?* This field is required.The full code of ethics is available here.

YESNO

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Are you willing to provide an annual Pastoral Reference, as condition for both initial and continued membership in our association?* This field is required.Your pastor must affirm that you regularly participate in the life of the church by attending services, serving the church, and participating in regular discipleship, and that you bear the marks of someone growing in the fruit of the Spirit.

YESNO

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Pastor's Name

First Name

Last Name

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Pastor's Email* This field is required.

example@example.com

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Do you have a completed CAQH Provider Profile?* This field is required.This is not required, but very helpful. If you have never filled out a CAQH Provider Profile, you can sign up for one here.

YESNO

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What is your CAQH ID Number?* This field is required.

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Do you have an NPI number?* This field is required.If you do not yet have one, you can register for one here.

YESNO

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What is your NPI Number?* This field is required.

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Please upload a copy of your malpractice insurance certificate of coverage.* This field is required.

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Please upload a professional profile photo* This field is required.

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