Dr. Brown’s Appointment Form

Do you need to setup a time between you and Pastor Brown? He can meet with you. Please follow the steps below to schedule an appointment with this Man of God.

Please call Alexis Brown at (810) 732-5880 to set up the appointment date and time. If you don’t call Alexis first your appointment will NOT be scheduled.
Fill out the form below and click Submit. To ensure that your appointment is productive and timely, please be as specific as you are able. All information is confidential and will only be reviewed by Dr. Brown. This will ensure that Dr. Brown has time to pray over your meeting. We appreciate your cooperation in helping us to serve you better.

Name

First Name

Last Name

Phone

(###)

###

####

Email

1. What is the nature of your appointment? (business, personal, legal, etc.)

2. With as much detail as possible, list your concerns in order of importance:

3. Are you currently a member of another church?

4. If so, have you spoken to your Pastor?

5. If you attend Kingdom of Heaven Ministries, have you received prior advice from an elder or minister?

6. If Yes, who did you speak with and what advice was given?

7. Do you attend any ministry functions? (Men’s Ministry, Women’s Ministry, etc.)

8. How long have you been saved?

9. What do you hope to accomplish as a result of your counseling sessions(s)?