I understand that I will be seeing Christian prayer ministers who will be able to listen, support, encourage, pray with, and minister to me to help me overcome my problem(s), and to grow in my Christian life. I accept that they are not licensed or professional pastors or counselors. I accept that they may refer me to a pastor, counselor, support group, and/or agency in the community.
I am aware that all statements that I shall make to the Christian prayer ministers are of a confidential nature, however, I waive my right to confidentiality at the discretion of the Christian prayer ministers, specifically for the following situations:
Pastors, counselors, Christian prayer ministers, or any other person involved in working with adults and children in a helping setting may be required by law to disclose to the appropriate person, agency, or civil authority any harm or potential harm that a person may attempt or desire to do to one’s own self or to others, or any reasonable suspicion of physical or sexual abuse being done or having been done to a minor child. We reserve the right to make such reports as mandated by law.
We may speak with another person (i.e. close friend, spouse) with your permission only about your sessions.
By my signature below, I acknowledge that I have read and understand the Waiver of Liability and Confidentiality, and that I accept the stated conditions and limits of confidentiality.
Your Christian prayer ministry team will be making a major commitment to you, as they pray, prepare, and spend time with you. In return, it is expected that you will be on time to ministry sessions, or if you need to miss a session, that you will let them know as soon as possible. It is expected that you will have a sincere desire to overcome whatever problems are hindering you, and that you will cooperate fully with the Christian prayer ministers and the Holy Spirit in order to facilitate receiving God’s help for you.