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Victorville
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Counseling Request
Counseling Request Entry
Counseling Request
Please Note: Church policy limits providing pastoral counseling to 4 visits and to regular attenders and members of High Desert Church only.
First Name
Last Name
Campus
Victorville
Apple Valley
Hesperia
Online
Does Not Attend
Phone
Birthdate
Email
Please state the nature of the counseling you are requesting:
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