CHRIST DIVINE HEALING AND DELIVERANCE MINISTRIES

DELIVERANCE MINISTRY & PASTORAL COUNSELING CONSENT FORM

Purpose of Ministry

I understand that the purpose of pastoral counseling and deliverance ministry is to provide Christian spiritual support, prayer, biblical counsel, encouragement, and ministry consistent with this church/ministry’s beliefs and practices.

I understand that participation is voluntary, and I may decline or discontinue a ministry or counseling session at any time.

Nature of Pastoral Counseling

I understand that pastoral counseling may include prayer, discussion of Scripture, spiritual guidance, encouragement, confession, forgiveness, reconciliation, and other biblically based pastoral practices.

Unless specifically stated otherwise, I understand that pastoral counseling provided by the church is not a substitute for licensed medical, psychiatric, psychological, or other professional healthcare services.

I understand that I may be encouraged to seek appropriate professional assistance when circumstances require expertise beyond the scope of pastoral ministry.

Consent to Deliverance Ministry

I voluntarily request and consent to receive Christian prayer and deliverance ministry.

I understand that this ministry may include prayer in the name of Jesus Christ, reading and applying Scripture, renunciation of sinful or spiritually harmful practices, prayers concerning spiritual oppression, and other practices consistent with the church’s biblical beliefs.

I understand that I will not be required to participate in any activity against my will and may request that the session stop at any time.

Confidentiality

The church/ministry will make reasonable efforts to protect the privacy of information disclosed during pastoral counseling and ministry sessions.

However, I understand that confidentiality cannot necessarily be guaranteed in every circumstance. Information may need to be disclosed when required by applicable law or when ministry leaders reasonably believe disclosure is necessary because of immediate danger, suspected abuse or neglect, or another serious safety concern.

I also understand that pastoral confidentiality and legal privileges vary by jurisdiction

Medical and Mental-Health Care

I understand that deliverance ministry should not be used as a reason to stop prescribed medication, medical treatment, psychological treatment, or other professional care.

Church/ministry personnel will not instruct me to discontinue medication prescribed by a qualified healthcare professional. Decisions concerning medication or medical treatment should be discussed with the appropriate licensed healthcare provider.

If I experience a medical or mental-health emergency, I understand that appropriate emergency or professional services may be contacted.

Participant Information
Participant Acknowledgment and Consent
For a Minor