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Please describe below if "Yes" *YesNoPlease describe professional diagnosisAre you taking prescribed medications for this diagnosis YesNoPlease note we will NEVER tell you to change or stop dosage. We are a ministry, not therapy, and will always refer you back to your prescribing doctor.Do you have any goals for your session *How do you hear best from God *FeelerThinkerSeerHearerDon't KnowOtherPlease describe how you hear from GodAre you comfortable using ZOOM *YesNoSomewhatLiability WaiverI acknowledge that Pamela and Indigo Heart Prayer are not professional counselors. To the best of their ability, they help facilitate connection to God and inner renewal. I understand that specific results are not guaranteed and progress may be immediate or take place over a period of time. I understand that Pamela and Indigo Heart prayer team are committed to confidentiality of any information that is disclosed during the prayer session with the following exceptions: 1. I accept and acknowledge that Pamela may keep a brief summary of the process and results of the sessions to improve the renewal process and assist in future sessions. 2. I accept and acknowledge that Pamela is required to report any intent of a person to take harmful, dangerous or criminal action against another person or themselves and that she is also required to report any current act of child or elderly abuse or neglect. Release of liability state that I have voluntarily sought assistance and that I am under no obligation to accept or reject any of the advice or help I might receive from Pamela and Indigo Heart. I agree to hold harmless Pamela and intercessors from any and all liability, loss or damage of any kind that may arise as a result of the prayer ministry I receive.By submitting this form, I acknowledge that I have read and understood the contents of the Liability Waiver. *YesBy submitting this form, I give consent for the HeartSync session to be recorded for hour-tracking purposes only. *YesSubmit