NCC Pastoral Care & Prayer Meeting/Referral Form

Assistance Requested:
Area(s) of Focus:
NCC Campus You Attend:
Preferred Meeting Time:
Most Convenient Meeting Location:
Level of Urgency:
For mental health emergencies, contact PRS CrisisLink (703-527-4077) or go to your nearest emergency room.
Additional Resources
Other resources you may find beneficial
12-step program for all hurts, habits, and hang-ups that runs year-round -- You can join at any time!
Celebrate Recovery for teenagers
Depending on the semester, this can include groups dealing with marriage preparation, finances, infertility, pregnancy loss, sexual trauma, divorce, grief, critical illness, and more.
Get to the root of issues hindering your personal connection with God & others.
Local ministry helping people find wholeness in identity, intimacy, & sexuality.
Local ministry helping those struggling with disordered eating.
Any additional information you would like to provide:
WHERE DOES THIS FORM GO? When you submit this form, the information will be transmitted to our pastor of prayer if you are requesting a prayer ministry appointment and to your campus pastor if you are requesting a pastoral care appointment or counseling recommendation. Questions? Contact Ryan Zempel, NCC's Pastor of Recovery and Care.
Additional Resources
Other resources you may find beneficial
12-step program for all hurts, habits, and hang-ups that runs year-round -- You can join at any time!
Celebrate Recovery for teenagers
Depending on the semester, this can include groups dealing with marriage preparation, finances, infertility, pregnancy loss, sexual trauma, divorce, grief, critical illness, and more.
Get to the root of issues hindering your personal connection with God & others.
Local ministry helping people find wholeness in identity, intimacy, & sexuality.
Local ministry helping those struggling with disordered eating.