Healing Prayer Application

Please be informed that this form, when submitted, is sent directly to the Life Transformation Director, Jennifer Milner. The information on this form is only shared with the prayer team directly involved with your sessions, mutually agreed upon by you.

Name *
Name
Phone Number *
Phone Number
What is your availability? (check all that apply) *
Have you experienced any of the following in the PAST? (check all that apply) *
Are you CURRENTLY experiencing any of the following? (check all that apply) *
By submitting this form, I agree to the following: *
To pursue my relationship with God for myself as this is a key part of my healing process. To be open and honest about my struggles even when I find it hard. To commit wholeheartedly to the process offered through Healing Prayer sessions. That the things I share will be kept confidential. However, I also understand that the OLCC team reserves the right to report abuse of children and the aged as Oklahoma is a mandated reporting state.