If you are like me, and wondering why the world isn't hearing about all the amazing healings taking place through the Power of God, then please help make a difference and share your Medically documented testimony of healing so the world may know!

My main goal is to publish your story with your first name only, and where/when the healing took place, and not to use, publish or disclose any other information you provide here -
The rest of the information is purely for statistics on capturing the data about the healings. Feel free to leave any fields blank that you are not comfortable providing.

Please email or fax (866) 576-7291 any medical documents that show proof of your healing, or you may send a letter from your Doctor stating the nature of your healing. The letters or documents you send are purely for verification purposes and we will not publish any information from these documents. .

By sending any forms or documents, you agree to allow us to read any of the information contained and will not hold us liable for reading, verifying, or storing any of the information sent to us.

Last, if your story is already written or too long for submitting on this form, please fill in the rest of the form, press submit, and then email the story to testomonials@healingpowerofGod.com and I'll match up your name with the form information. Thanks for sharing your testimony!
Scott Levesque
Personal Healing Info Form
 
First Name*
Last Name
Title
Email Address*
Mobile
Country*
Please mention your home church if you wish to have it included.
Leave blank if you do not want your church mentioned or if you do not have a home church.
Did your healing take place at an event?
Please provide location, (State City & Zip),the name of event, and the approximate month/year*
Did someone facilitate the healing that you received and would like to mention their name?
If yes, please provide their name and title and/or if they are working in ministry, and/or which ministry
Where you a Christian Believer at the time?
Believer then? Yes No
Are you a Christian Believer now?
Believer now? Yes No
Do you have any pictures or video you would like to share with your story?
Pictures or Video: Yes No
What was the nature of your ailment that was healed? (Brief description goes here)
Condition Healed:*
Please tell the entire story of being healed by God!
Your Story:
Optional: Is there anyone we can contact to verify your story?
Provide their name & phone, or name & email to contact them:
What type (& how many) "proof of healing" documents will you be sending us?
Type and number of documents
Permission to tell, publish, or post your story?
Can we use your story?* Yes No
Can we include the Doctors name with your testimonial?
Include Doctor: Yes No
May we contact your Doctor?
Contact your Doctor Yes No
Please provide the name address, and phone if we have permission to include your Dr's name so we can have his/her permission to use their name in the story.
Dr Name Address, & Phone #
Would you like to Opt-In for receiving emails about other inspirational healing stories?
Email List:* Yes No
Is there anything else you wish to add?
Comments:

 
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