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.
Sign in to Google to save your progress. Learn more
Name *
Address
Email *
Home Phone Number
Mobile Phone Number
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 *
How Would You Describe Your Faith? *
Church Membership, if any *
How Did You Hear About Our Ministry? *
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. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy