Fill-In Online Data

If you’re looking for Christian counseling, based 100% on God’s Word, you’ve come to the right place.

Please fill out the form below (2 sets for couples; 3 sets for parent/s child) and we’ll contact you as soon as possible. Information will only be viewed by Dr. Tardif. Or if you prefer, go to the “Download Forms for Printing and Mailing”, print out the forms and mail according to instructions on that page.

NOTE: If you live outside of a normal commute for counseling, you may contact me with your location to see if I can find another counselor in your area. If that does not work, you may request a counseling session via teleconferencing. You will need to have a mic and camera attached to your PC, laptop, or smart phone, and an email address.

If this is an emergency, you can reach Dr. Tardif at (207) 256-7866.

You should plan on an hour or more to fill out this form.

%d bloggers like this: