If you're a new client, please read through the following forms and write down anything that you do not understand so that you can discuss them with your Spiritual Tele  Health  Care Service Therapist  during the session of your service.

  • Client Telehealth/Service Intake Form
  • Limits of Confidentiality/Service Cancellation Policy 
  • Please be informed that  AGELA is designed to provide  you and your loved ones  Spiritual Educational   Care Services through Telehealth, Video, or Virtual  Technology . You or you loved ones will need to read  through the information on the form as you Log Into AGELA's Website and read through the information before the date of your appointment. Complete the information  needed and submit the form.

Note: To download Adobe Acrobat Reader for free, Click here. 516-800-3707 or 347-640-7603 Contact Email ; [email protected]