Prayer Request Intake

Before You Submit

We are honored to pray with you. Please know that this form is read with care,
but it is not monitored 24/7 and is not a substitute for counseling, medical, or emergency care.
If you ever feel unsafe, overwhelmed, or are thinking about harming yourself:
Call 988 in the U.S. to connect with the Suicide & Crisis Lifeline (available 24/7).
If outside the U.S., please dial your local emergency number or seek immediate professional help.
Your prayer request will remain confidential within our prayer team, but by submitting, you acknowledge that this form is for prayer support only and does not create a physician/patient, counseling or therapeutic relationship.