Pastor Josh Nicolet

Pastor Josh Nicolet Marriage, Family, Individual and Financial Counselor

Josh lives in Rocklin with his wife of 21 years and two teenage children. He has a passion to see individuals and couples not just survive, but thrive in the abundant life Jesus promises. Josh is a licensed and ordained pastor at Destiny Christian Church. He currently oversees Marriage Enrichment, Inner Healing ministry, and Pastoral/Biblical Counseling. At a young age Josh experienced the pain of a broken home and childhood trauma that led to years of addiction. Jesus set him free in 1997 when he was radically saved, healed and delivered. Josh immediately dedicated his life to sharing the love and transformative power of Christ to the lost and hurting. After graduating from Bible College; Josh worked as a youth pastor, chaplain, and pastoral crisis counselor at KLOVE radio. he has furthered his counseling education through American Association of Christian Counselors, Biblical Counseling degree from Light University, Crisis Response Training, Amen Clinics where he is a certified Brain Health coach, Certified Marriage Mentor with Dare to be Different, as well as an Appreciative Inquiry Group Facilitator.

To book a repeat appointment with Pastor Josh, please email him directly at: [email protected]

If this is your first visit with Pastor Josh, please fill out the Intake Form below so he may be able to serve your needs better during your appointment. `Thank You.

Intake Form

Pastor Josh*

Counselor

Intake Form Date

Name

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Date of Birth

Age

Gender

Male
Female

Spouse's Name

Spouses Age

Years Married

Names and Ages of Children/and or Step Children

Explain

Who referred you to Destiny Biblical Counseling or how did you hear about us?

Religious Background

Religious Affiliation:

Are you Saved and When?

Have you been Baptized and When?

Daily Relationship with God?

Level of Activity

Active
Inactive

Do you attend a local church?

If yes, name of church

How long have you attended your present church?

How significant is your religion to your everyday life?

Occupational Information

Occupation

Employer

How Long?

What concerns have led you to pursue counseling?

When did this begin to be a problem for you?

Please rate the severity of your present concerns.

Mild
Moderate
Severe

What do you hope to gain from counseling.

If other people are involved in your present problem, who are they and how could they help improve the situation?

Medical/Health Information

Are there chemical substance abuse issues in your family?

If yes, who?

If clean/sober, for what length of time?

Have you ever been hospitalized for mental illness or substance abuse?

If yes, for what specific reason and where?

Have you ever participated in counseling before?

If so, when and why?

Name of Therapist

Any other information that you feel is important to share that is not covered?

Terms and Conditions

The Counselor is not providing legal, tax, medical, or other technical or professional advice.

The session content will be held confidential; however, limitations of such client held privilege of confidentiality exist and are itemized below:

1. If a client threatens or attempts to commit suicide or otherwise conducts him/herself in a manner in which there is a substantial risk of incurring serious bodily harm.

2. If a client threatens grave bodily harm or death to another person.

3. If the Biblical Counseling Minister has a reasonable suspicion that a client or other named victim is the perpetrator, observer of or the actual victim of physical, emotional, or sexual abuse of children under the age of 18 years.

4. Suspicions of elder abuse (60 and older) as in the case stated above (#3).

5. Suspected neglect of the parties named in items #3 and # 4.

6. Your Destiny Biblical Counselor (DBC), reserves the right to discuss your case with other DBC team members in order to come up with the best solution and strategies that will have the greatest impact of success for your specific situation. Your information and case is still strictly confidential outside of the DBC team.

I agree to hold Destiny Christian Church and its team members free from any and all liability, loss or damage of any kind that may arise as a result of assistance which I have received or from my involvement with the Destiny Biblical Counseling Team.

I have read and agree to the terms above.

Suggested Donation Amount is $50.00

Add 3% to my donation to cover credit card fees.

Total

$0.00

Almost done. Where should we send the confirmation?

Name

Mobile Phone Number