Contact Me

If you’d like us to contact you regarding your counseling needs, please fill out the form below.

We need to know your date of birth to help us determine counseling protocol.
Please provide a brief description of why you are seeking counseling.
If none, please write "none."
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Intake Process

The paperwork below is required once an appointment is made. It is extremely helpful to Pastor Ryan and our counselors if they receive it in advance for review and preparation for your appointment. In the event that is not possible, please bring it with you to your appointment. If you have any questions, please contact Pastor Ryan at rcooper@myemmanuel.net or by calling the church office at 406-652-3161.

PDI Instep Counseling Application

Pre-marital Counseling Application