If you have already been to Seven Hills Healing Rooms (SHHR) you need only to fill in your Name, Phone Number and the condition you would like prayer for.
At least one phone number for contact is required
LEGAL LIABILITY DISCLOSURE (You will need to check the agreement box below)
I, hereby release SEVEN HILLS HEALING ROOMS (SHHR) and their volunteers or staff from any liability, for any harm or perceived harm resulting from any voluntary receiving of free prayer in this or any subsequent sessions. I understand that these Healing Rooms are staffed by volunteers representing the broad Body of Christ and reflect many denominations and churches. I understand that it is my responsibility to let the team leader know if I or my child or dependent experiences physical discomfort during the prayer session. I understand that if I am currently taking medication, or to have an operation under the advice of a heath care professional service, I will allow them (my medical doctor, therapist, counselor, etc.) to confirm any results of prayer received before altering any prescribed course of action or treatment. I understand that everything I say in the prayer sessions is confidential unless there is a concern for my safety or the safety of others. If I report a serious indictable offence at any time, the Director may disclose this to the relevant authorites. I am not seeking and acknowledge Seven Hills Healing Rooms does not provide any service in connection with "Sexual Preference/Same-Sex Attraction or Gender Identity Conversion Practice." I agree not to record any session.