Retreat Intake Form

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Where I am Today

(1 = not at all/10 = extremely)

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Understanding & Agreements

I/we understand that I am responsible for the choices I make and the consequences that follow and that The Coffman Company is not held liable for those choices.
I/we understand that everything I/we say is confidential unless I/we are considered to be a physical threat to myself or another or unless unreported abuse has occurred (as required to report by law).
I/we understand the fee charged for the retreat and will cooperate with our agreement.
I/we understand that Joey Coffman has an MDiv in Pastoral Counseling and Robyn Coffman has a Masters in Marriage and Family Therapy. They are certified under the BCPPC (Board of Christian Professional and Pastoral Counselors), and are not licensed by the state of Arizona.
I/we understand that Joey and Robyn Coffman counsel from a Biblical perspective.

Background

CONTACT US

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