1 Peter 5:7 "Give all your worries and cares to God, for he cares about you" (The Apostle Peter)

Help Request Form

Let us know what you're looking for by answering the following questions. We will be in touch shortly. Any information you provide will be held in accordance with our confidentiality policy.

Name
First Last
Email*
Phone*
Would you prefer to meet with...*
- Samantha Henry, MA (Surrey & Langley)
- Jamie Johnson, MA, RCC (Langley)
- Julie Corona-McLean (Langley)
- Carson Vogt, MA, RCC (Chilliwack)
- Jelisa Penner, MA, CCC (Chilliwack)
- Andrea Hendy, MA, RCC (Langley)
- The first available clinician
Would you prefer to attend appointments in the...*
- Select All
- Daytime
- Afternoon
- Evening
Please note: Practitioner availability varies
Are you looking for counselling for...
- Teens (Offered by Samantha Henry, Julie Corona-McLean, Jelisa Penner, Carson Vogt)
- Adults (Offered by all Counsellors)
- Couples (Offered by Jamie Johnson, Jelisa Penner & Andrea Hendy)
What are your main goals?*
- Healing from Trauma
- Freedom from Anxiety &/or Depression
- Relational Improvements
- Freedom from Habits or Addictions
- Optimal Functioning
Briefly describe your reason for seeking help.
Do you prefer to be contacted by...*
- Phone Call
- Email
How did you hear about Mercy Seat Ministry?

1 Peter 5:7 "Give all your worries and cares to God, for he cares about you" (The Apostle Peter)

Help Request Form

Christian Counselors Serving Chilliwack, Langley, and Surrey

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