I acknowledge that team members from TruHope have voluntarily agreed to pray for me. I understand that this session is not a professional counseling meeting and that none of the team members are licensed counselors. I understand that these team members are highly trained prayer ministers who are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I acknowledge that there are no guarantees in prayer ministry and that all healing done in this session comes solely from the power of the Lord Jesus Christ. I further state that I have voluntarily sought assistance of my own initiative and that I am under no obligation to accept or reject any of the advice or help that I might receive from the team members of this ministry.

I acknowledge that TruHope operates under 501c3 nonprofit status and does not charge for any prayer services. Instead, we operate solely through your generous partnership with the ministry. Would you partner with TruHope today by donating a suggested amount of $75?

I understand that this ministry session is completely confidential and protected in files under lock and key. However, I also understand that TruHope mandatorily reports threats of imminent risk of harm to any individual (including self), or suspicion of child and elder abuse to the proper Texas authorities. I agree to hold TruHope 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. I have read this disclaimer and release of Liability and understand and agree with it and have executed it as my free and voluntary act.

Testimony Permission:

Follow-up Permission:

Signature of parent or guardian if person seeking prayer is not 18 years old or older.


(include any physical illnesses or conditions you have)