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Initial Appointment
As you prepare to embark on your journey of growth and healing, we ask that you meet with one of the Mid-Valley Fellowship staff to have a conversation about the road ahead. This conversation is designed to help chart a course that will fit your unique journey and situation.
Fill out this form, and we'll be in touch with you to get this free appointment scheduled.
See the
Frequently Asked Questions
for more information.
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Primary Area of Struggle
*
Abuse Survivor
Parent/Family Member
Pornography/Sexual Addiction
Same-Sex Attraction
Spouse
Other (please explain in "Additional Notes"
Gender
*
Male
Female
I'm interested in
*
Individual Support
Support Groups
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Time
*
Morning - 9:00am-12:00pm
Afternoon - 1:00pm-5:00pm
Other (please explain in "Additional Notes")
Additional Notes
*
Submit
About
About Us
Blog
MVF on Facebook
Upcoming Events
Contact Us
Find Support
Get Started
Individual Support
Group Support
Current Participants
Program Retreat
Summer Program
Erēmos Internship
Ministry Consultation
Learn More
Stories
Newsletter
Speaking
Resources
Church Resources
Community Events
Partner with MVF
Pray
Volunteer
Give
Benefit
Partnership Lunch
Online Portal