We Can Help

Call our Referral Coordinator at
(703) 903-9696 ext. 290
to help determine the best counselor for your needs.

Initial Appointment Paperwork

Welcome to Center for Pastoral Counseling of Virginia. When you meet us during your first appointment, you will be asked to come 15 minutes early to review our Covenant of Understanding and Privacy Practices and fill out a new client form. Or, you may download and fill-out these forms to bring with you if you wish.

CPC Covenant of Understanding (PDF)

CPC Notice of Privacy Practices (PDF)

CPC New Client Information (PDF)

Consent for the use of Technology Assisted Counseling (PDF)

Feel free to bring your completed forms with you on your first appointment.

Feel free to bring your completed forms with you on your first appointment.