Christ’s Forgiveness Ministries

Deliverance & Healing

If you need Deliverance and/or Healing, Please fill out the form Below

We will get back to you as soon as possible

    Background Information


    Fathers Side

    Mother's Side

    Please Check any of the following Sickness/Ailments that are Common in the Family (You can Select Multiple Options):


    Personal History

    Occult Practices: (Have you participated in any of the following?)

    Select all that apply:

    Cultic Group: (Have you been a member of the following?)

    Select all that apply:

    Idolatrous Worship: ( makes dedicated prayer, a devotee or made a vow to: )

    Select all that apply:

    Other Involvements and Experiences:

    Select all that apply:

    Spiritual Problems:

    Select all that apply:

    Emotional Experiences Having Difficulty Controlling:

    Select all that apply:

    Mental Experiences: ( In the past, or presently struggling with)

    Select all that apply:

    Physical Involvements/Experiences

    A)Addiction/Unusual Craving For (Select all that apply):

    B)Other Physical Problems (Select all that apply):

    C)Sexual Problems: (Select all that apply):

    D)Bad Habits (Select all that apply):

    E)Recurring Sickness (Select all that apply):

    F) Present Relationship Problems (Select all that apply):

    G) Traumatic Experiences (Select all that apply):

    Terms and Conditions (Must Accept)

    I agree to not hold Christ's Forgiveness Ministries, or any of its members, mentors, elders or pastors liable for: 1. Services rendered, or for any consequences of such services including counsel, discipleship, declaration of doctrinal beliefs, deliverance, prophecy and healing. 2. Any resulting mental, spiritual, or physical problems resulting during or after the above services including (Should you suffer a heart attack, stroke, paralysis, mental anguish, physical, emotional, or spiritual disability). I hereby give up my right for any recourse, injunctive action, or lawsuit for this attempt to receive counsel, discipleship, deliverance, healing, prophecy and all related services from Christ's Forgiveness Ministries and its members and leaders. I also agree to let Christ's Forgiveness Ministries: 1. Video record the deliverance session and its related services for accountability, case reviews, broadcast, follow-up, deliverance training, and assistance to others in need