Church of the Holy Spirit Healing Prayer Appointment Request
Please complete the fields below and click "Submit".
After receipt of the form, the Prayer Appointment Ministry Leader will contact you to set up an appointment with a prayer team.

Note that we are not able to support requests for internet appointments or intercessory prayer. This form is for local prayer appointments only. Thank you.
Name *
Your answer
Your answer
Email *
Your answer
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Best Way to Reach Me *
Best Time to Reach Me *
Appointment Preference *
Gender *
Prayer Team Preference *
Brief Description of Your Prayer Need and What Brought You To Request This Prayer Appointment *
Your answer
How Would You Describe Your Faith? *
Your answer
Church Membership, if any *
Your answer
How Did You Hear About Our Ministry? *
Your answer
Disclosure: I understand that this ministry uses volunteer prayer ministers who are part of the CHS Prayer Appointment Ministry. I give my permission for my prayer needs to be shared with the Rector or ministry leaders if necessary, and I understand that the ministry team will share a brief summary of the appointment with the ministry leader. *
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