Request a New Minister/Service — Transformation Center

Request a New Minister or Service

If it’s been more than 2 years since you’ve completed paperwork,
please email transformationcenter@bethel.com to request new forms.

We’ll be in touch within 5 business days regarding your request.

If you’ve met with your last minister within the past 3 months, we’ll include them in the referral (which may increase the overall processing time). Please see our FAQs for more info on this process.

1. Client Name

First Name

Last Name

2. Is the client a minor?

If yes, then input the adult contact's information below (NOT the minor client's email/phone).

Yes

3. Contact Name

First Name

Last Name

4. Client/Contact Email

5. Client/Contact Phone

Country

(###)

###

####

6. Requested Service

We'll assign you to a minister who best aligns with your goals, and we'll contact you with our recommendation. (*Indicates a non-standard session. Please see our FAQs for details.)

7. Current Availability (PST)

Please tell us the days and times you're available for a session. The wider your availability, the more options we have to match you with.

8. What are your goals for this next session? What outcome(s) are you hoping to experience?

9. Why do you want to switch to a new minister/service?

10. What are you looking for in a new minister?

11. Do you want a video or in-person session?

12. What's your top priority when we assign you to one of our team members?

13. What's your second priority when we assign you to one of our team members?

ACCOUNT REVIEW

Since we're updating your account, we want to make sure that everything on file is correct.

14. We periodically update our policies and want to make sure you have our latest information. How will you access and review our most updated policies?

15. Is your credit card on file up to date?

16. Do you want to update your Release of Information Form?

We don't discuss your account with anyone unless you authorize us to speak to a specific person(s) or entity. If you wish to have someone assist you in booking appointments, managing payments, and/or are a Bethel student (who has not authorized your current RGP and would like to receive the Bethel Student discount), you will need to list someone in your Release.

17. Is your contact information on file (home address, phone number, email address) correct?

18. Updated Home Address (if applicable):

19. Updated Email Address (if applicable):

20. Updated Phone Number (if applicable):

Country

(###)

###

####

Request a New Minister or Service

If it’s been more than 2 years since you’ve completed paperwork,
please email transformationcenter@bethel.com to request new forms.

We’ll be in touch within 5 business days regarding your request.

Your breakthrough is 3 steps away!

Location

Hours

Contact

Request a New Minister or Service

If it’s been more than 2 years since you’ve completed paperwork, please email transformationcenter@bethel.com to request new forms.

We’ll be in touch within 5 business days regarding your request.

Your breakthrough is 3 steps away!

Location

Hours

Contact

If it’s been more than 2 years since you’ve completed paperwork,
please email transformationcenter@bethel.com to request new forms.