Deliverance with Jesus Lives Ministry Form

  • Jesus Lives Ministry

    Pre-Deliverance form

  • Deliverance Form

    The focus of this ministry is to bring healing and deliverance to the body of Christ. Jesus said to "Go preach the gospel and say the kingdom of God has come near to you. His commission includes healing the sick, casting out demons, and making disciples of all nations. By casting out demons and setting at liberty those who are bound, we hope to bring deliverance to every willing vessel. My passion is to help you walk in victory in every area of your life. My goal is to empower you to successfully live out your God-given freedom, and strengthen you in your walk with the Lord.

  • What to Expect

    The purpose of this form is to prepare the deliverance team for their session with you. Once you have filled out the questionnaire below, you can also schedule to receive deliverance on this same form. Once you submit the form, our team will begin praying and fasting for the upcoming session. Your deliverance journey could require several sessions. Once you have been delivered, we will teach you how to maintain your freedom through various tools that we provide to you after your final session. The bible says, "The truth will set you free" (John 8:31). So coupled with your deliverance, we will also equip you with biblical truths to help you understand your identity, your authority, and your position as a son or daughter of God. We want to equip you to be strengthened to engage in the battle and help others who are bound. Whether you like it or not, we are in a war and it is actively raging all around us. This is why Ephesians 6 says to put on the full armor of God. You need to know who you are in Christ and understand the power available to you as a child of God. Some of the tools we give you will focus on helping you to build on a new foundation, actively crucify the flesh, and maintain your freedom in Christ. To begin the process and prepare the deliverance team for your session, please provide your history in the questionnaire below. All information is strictly confidential and will be viewed only by the individuals involved in personal ministry with you.

  • Support for the Ministry

    "Heal the sick, cleanse the lepers, raise the dead, and cast out demons. Freely you have received, freely give."(Matt. 10:8) If you are blessed, feel spiritually fed by this ministry or want to support this ministry in any way, we would appreciate your prayers. If you want to sow financially, you are more than welcome to, but do not feel obligated. Deliverance sessions are done through our ministry at no cost. WE DO NOT CHARGE for deliverance sessions!

  • What to Expect

    "If you abide in My word, you are My disciples indeed. And you shall know the truth, and the truth shall make you free."

  •    Your heart posture as you approach deliverance can determine how successful your deliverance will be. In order to conduct an effective deliverance session, it is critical to be forthcoming, extremely honest, and transparent while filling out the form. The information you provide will highlight and expose every legal right or open door the enemy has against you.

       Deliverance is not a religious experience, it's a legal exchange. Once the legal rights are broken, your enemy has no claim on you and must release you. Please do not leave out any pertinent or requested information. I have been through several deliverance sessions myself.

    "If we say we have no sin, we deceive ourselves, and the truth is not in us. If we confess our sins, He is faithful and just to forgive us our sins and to cleanse us from all unrighteousness. If we say that we have not sinned, we make Him a liar, and His word is not in us" 1 John 1:8-10

    All have sinned and fallen short of the glory of God. I, myself, have engaged in many of the perverse and ungodly sins listed below. There is no judgement on my behalf or anyone else on this ministry team. Please know that the enemy loves to remain hidden and wants you to conceal every sinful thing you have ever done. He has power over you as long as you keep your sin hidden. As you fill out the form, please ask Holy Spirit to be with you and give you courage to check every single bullet point that applies to you. Freedom awaits you.

  • Information

    We recommend using a desktop computer in filling out this form. It makes things easier to execute.
  • Date*
     - -

  • Deliverance Hours

    Email rakel@jesuslivesministry.com to schedule a deliverance session
  • Appointment

  • Availability

    Due to the demand for Deliverance we are booking a week in advance. Your patience is appreciated.
  • For people outside the Reykjavík, Iceland area and do not want to drive, we provide Zoom (video conferencing) deliverance sessions. This form of deliverance is just as effective as face-to-face.
  • Have you been married before?
  • This ministry performs deliverance on believers in Jesus Christ. If you are not a Christian and would like to become a born again believer, then we will gladly walk you through the sinner's prayer and ask for the infilling of the Holy Spirit. This is the most important decision of your life; As you make this commitment to surrender your will, to follow Jesus, and to give your life to Him, He promises to send the Holy Spirit to fill you and be with you. If you have further questions please go to the 'What we Believe' link for more information. According to Jesus in Matthew 12:43-45, if an evil spirit is cast out of an unbeliever and they do not fill that void with the word and receive the infilling of the Holy Spirit, that person is considered "unoccupied." The evil spirit will return after looking for another home, with seven more evil than itself, resulting in the person being worse off than before deliverance. This is why we are very adamant about only doing deliverance on those who are believers or who want to become believers. After your deliverance, we will teach you about the importance of the sanctification process and how to develop a strong foundation built upon Jesus Christ. The Holy Spirit is the power source that we need to live a victorious life in God. He is promised to come into our lives as a deposit or guarantee for our conversion and new life in Christ. It is a privilege for every believer in Jesus Christ. The best way to be led by the precious Holy Spirit is to invite Jesus into your life through becoming a Christian. Please select which best applies to you below:*
  • In order to move forward with your deliverance, there are a few requirements that need to be met in order to have a successful deliverance. Otherwise, the legal-rights that give the enemy permission to stay will not be broken and the evil spirit(s) do not have to leave. 1.) During deliverance you will need to forgive and release ALL the people who have hurt you, wronged you in any way, or sinned against you. I know this may be difficult, but the Father requires us to forgive others as we have been forgiven. Forgiveness is a choice not a feeling. 2.) You must be ready to repent and turn from ALL sin and renounce it in deliverance. If you plan to continue in sinful or behaviors like (pornography, pre-marital sex, homosexuality, masturbation, adultery, vaping, nicotine, weed, theft, Occult practices, etc.) then deliverance is not for you at this time. 3.) Lastly, you must be willing to be completely transparent and not keep anything from the deliverance team. Hiding any information will only help delay or prolong the deliverance. Unclean spirits rely on access through legal rights. If there is hidden information that you do not disclose, it helps strengthen their legal rights and they don't have to leave. It will be negligible and unfruitful to move forward if any of these conditions are not met. Please carefully select the following choices that apply to you:*

  • * If you checked any of the last three selections in the question above, you may need to pause, and stop for a moment. Be honest with yourself. If you truly want to be set free, a desparation for freedom must exceed any reluctance or hesitancy to forgive. I pray you choose to bravely and courageously take the next steps in faith toward forgiveness. If you need help, we will walk you through step by step to assist you in the process and explain why we must all choose forgiveness. If you are willing, there is a way. If the answer is still, no, please Do not proceed in filling out the rest of this form. Deliverance is not for you at this time. If you have any questions please go to the "Contact Us" page on this website and submit your questions.

     

  • Have you been water baptized?*
  • Do you speak in tongues through the Holy Spirit?*
  • Have you been through deliverance or Sozo prior to this session?*
  • Was your deliverance successful in driving out demons?*

  • Ask the Holy Spirit to come and help you fill out the following questions. If you are not sure what to pray, you can say the following prayer: "Holy Spirit, I need Your help. Open my ears to hear You, now, in Jesus name. Will you please speak to me, and show me any areas of concern, Amen."  Trust what you hear!

  • Did you have any imaginary friends as a child?
  • Were you exposed to pornography?*
  • Are you currently watching pornography?*
  • Are you currently masturbating?*
  • Have you engaged in premarital sex?*
  • Have you ever engaged in adultery? While married or your partner was married.
  • Does your current spouse know about the adultery?
  • Are you willing to confess the infidelity to your spouse?

  • ***It is important to understand that in order for your deliverance to be successful, the enemy can no longer have legal permission through concealing your infidelity. It is our experience that if a spouse has unconfessed adultery in the marriage, the evil spirit will manifest during the session but will NOT come out. Infidelity is a serious matter in God's eyes and it needs to be confessed to your spouse since the foundation of the marriage is unstable. At the root, there is hidden sin actively working against the marriage, causing a spiritual fracture in the foundation of your relationship. The marriage must be built on solid ground consisting of truth, trust and honesty. You will find peace, renewed trust and security in the fruit of your decision over time. I know it can be challenging to face this with your spouse, to come clean and confess, but in the long run, if both parties are willing the relationship will be stronger than ever. Proverbs 28:13 says, "Whoever conceals their sins does not prosper, but the one who confesses and renounces finds mercy."*** 

  • Select which sexual acts apply to you:*

  • These scripture verses answer the following quesitons about sexual sins: homosexuality, lesbianism, pornography, adultry (Swinging/ swapping partners). The bible clearly and explicitly condemns homosexuality and lesbianism as an immoral and unnatural sin (Leviticus 18:22; 20:13; Romans 1:26-27; Corinthians 6:9). And the Bible strongly condems rape, as well (Deuteronomy 22:25-27). Pornography is clearly defined as 'lust of the flesh' and 'lust of the eyes' (1 John 2:16). Swapping partners is adultry and clearly outlined as sin in (Galations 5:19; Ephesians 5:3; Colossians 3:5; Thessalonians 4:3)

  • Have you ever experienced a miscarriage?*
  • Have you had an abortion?*
  • Have you taken the "Morning After Pill?"
  • Select which sexual acts apply to you:
  • Do you experience confusion regarding your gender?
  • Do you ever experience either homosexual, bisexual, or lesbian thoughts or tendencies?

  • Generational Curses and Ancestry

    Legal rights

  • In Exodus 20:5 and again in Deuteronomy 5:8-9 it clearly says that "You shall not make for yourself an idol or any likeness of what is in heaven above or on ethe earth beneath, or in the water under the earth. You shall not worship them nor serve them; for I, the Lord your God, am a jealous God, visiting the iniquity (sins) of the fathers on the children, and on the third and fourth generations of those who hate Me, but showing lovingkindness to thousands, to those who love Me and keep My commandments."

    Demons can pass on through the sins of our forefathers and mothers. If you or your parents or anyone in your geneology visited a medium or psychic, engaged in witchcraft, or any immoral behavior, then generational curses are at work. They affect you and will pass on to your children. The curse must be broken by the blood of Jesus, any spirit hiding behind it cast out, and apply the blood of Jesus into your bloodline going back 1000 generations moving forward. 

    Psalm 58:3 says that "Even from birth the wicked go astray; from the womb they are wayward."

    Demonic spirits can enter from the womb. Demons can have permission to affect generations as forewarned in Exodus 20:5 is highly likely and can apply to everyone. There are ancestors in your history that could have engaged in ungodly practices and passed on a spirit(s) to you (and your children) through your bloodline. In most cases, you may only know limited information concerning your parents and each of their two parents. There may be generational curses in your ancestral background dating back thousands of generations. It is extremely important to consider your heritage in order to break off these generational curses passed down to you from the previous generations. 

    To understand more about curses, read Deuteronomy chapters 27 and 28. There are resources available to learn more about this topic such as the book called "Blessing Or Curse: You Can Choose" by Derek Prince. 

  • Are you aware of your ancestors involvement in any of the following areas?
  • Are you aware of any involvement of your ancestors in any of the following areas?
  • Select any involvement You have ever had with any of the following. Even if you only participated once, no matter how innocent it seemed at the time.
  • Select any involvement YOU have ever had with the following. Even if you only participated once, no matter how innocent it seemed at the time.
  • Are you willing to stop engaging in these activities and renounce any involvement you had in the list above in order to move forward in deliverance?*
  • Did you love to watch horror movies?*
  • Do you believe in reincarnation? (You have past lives, or when you die you come back to earth as someone else).*
  • Do you talk or communicate to the dead? (Speak to past loved ones or conjure their spirits up).*
  • Did you abuse alcohol, smoke or take drugs?*
  • Have you ever mistreated the handicapped or bullied/ abuse people?*
  • Have you ever participated in Anti-Semitism (hostility or prejudice against Jewish people)?*
  • Do you struggle with judgement, criticism, or hate, especially towards other races?*
  • Were you rebellious?*
  • Wives do you struggle with submitting to your husband?*
  • Did you affiliate with any feminist movement ro way of thinking? (Women's freedom, burn your bra's, liberation, men are the problem, unbridled freedom, etc?)*
  • Do you struggle submitting to authority?*
  • Have you experienced legal trouble?*
  • Are you stubborn?*
  • Are you defiant?*
  • Is it difficult for you to receive correction or constructive critique?*
  • Do you see yourself as typically always right?*
  • Are you tormented with guilt and shame?*
  • Are you tormented with loneliness?*
  • Are you tormented with hopelessness?*
  • Do you struggle with isolation?*
  • Have you struggled to forgive others?*
  • Are you currently walking in unforgiveness?*
  • If so, will you forgive?*
  • Do you struggle with forgiving yourself?*
  • Do you have difficulty trusting others?*
  • Do you struggle with bitterness or resentment?*
  • Do you struggle with revenge (an eye for an eye)?*
  • Do you experience feelings of self-hate?*
  • Have you suffered from self-harm (including cutting yourself)?*
  • Do you have any tattoos?*
  • Have you ever had suicidal thoughts?*
  • Have you ever attempted suicide?*

  • ***We will annoint your tattoos and rededicate those body parts to the Lord.***

  • Do you recognize that the demonic will speak through your thoughts?*
  • Do you hear voices (demonic thoughts)?*
  • Do you see in the spiritual realm? Angels, demons, etc.*
  • Do you experience frequent nightmares, sleep paralysis, sleep disorders, or sleep walk?*
  • Do you have recurring dreams with a partner from your past that you no longer have an intimate relationship with?*
  • Do you experience fatigue without medical reason?*
  • When you read the Bible or try to spend time with God, do you immediately get sleepy and start yawning?*
  • Do you suffer from anxiety or panic attacks?*
  • Do you experience frequent headaches?*
  • Do you struggle with an eating disorder, or have you in the past?*
  • Do have a compulsion to restrict certain food groups from your diet (Vegan, meat, diary, etc)*
  • Has there been a death of someone close to you?*
  • When attending church, do you experience foul thoughts or mental harassments?*
  • Have you experienced anger towards God?*
  • Do you have blasphemous thoughts against the Holy Spirit?*
  • Do you often find error in different churches/ denominations and feel its your duty to expose them and warn other people?*
  • Are you plagued with doubt and unbelief?*
  • Do you suffer from confusion?*
  • Do you battle insecurity*

  • Common symptoms of Demonic Attack

    -General manifestations-
  • Check any that apply to you regarding money:

  • Note: The above checklist has proven to be a good starting place in determining if you should seek deliverance. Experiencing some of these symptoms does not guarantee demonic oppression. Although its important to note that these are symptoms of people who are under demonic attack and require deliverance.

  • See Common symptoms that might apply to you. Please list them in the text box below:

  • Preparing for Deliverance

    What to Expect

  • The Bible says in Mark 9:29, that the disciples could not cast out a demon from a young boy. They had seen success already, yet for some reason they were unable to cast this particular demon out of him. Feeling frustrated, they stepped aside as Jesus came and cast the demon out immediately. They pulled Jesus aside and asked Him privately what went wrong? "Why weren't we able to do it?" They cried.  He answered them, “This kind (of demon) only comes out by prayer and fasting.” This is another weapon we have at our disposal to weaken and crucify the flesh Fasting keeps our flesh at bay and helps focus our minds on things of the Spirit. We highly reccomend you joining the deliverance team in praying and fasting before your session. We like to encourage people to fast the day before your deliverance. We do not suggest fasting the day of your deliverance unless the Lord prompts you.  

    Your willingsness, active participation, transparency, honesty, and desire for freedom is the key to help us deliver you from demonic oppression.  Jesus wants us all to be free, but it is up to us to want it for ourselves. Jesus is alive and has provided us His power throught the Holy Spirit. It is availble for us to use in deliverance in Jesus's name. During the session, if you are unwilling in any area that we direct you, we cannot override your will and the unclean spirits are not necessarily obligated to go.

    Deliverance may take several hours, we reccomned clothing that is comfortable and discrete. Ladies, please wear appropriate clothing that covers your chest, stomach, and upper legs. Please no skirts or dresses. You will manifest during deliverance, and we want to be honoring of you. If you wear anything revealing, you can be exposed during deliverance. Our top priority is that you are treated with the utmost honor, respect and dignity.

    As deliverance progresses and evil spirits start to leave your body; You may feel tension, pressure, tightness around your neck or throat, burping, yawning, coughing, spitting up mucus, vomitting (though this has not happened yet), groaning, a pressure pushing air up and out of your lungs. Some people have manifestations in their mouth, tongue, eyes, and fingers. These manifestations are all demons leaving your body. As deliverance is well underway, you may notice an increasing desire to speak out or curse the person administering the deliverance. This may sound like a voice in your head or the feeling like something is there speaking for you. LET THE TEAM KNOW WHAT YOU ARE HEARING! This is extrememly helpful indirecting us moving forward. You should not feel any pain as you undergo deliverance; Again, you may feel slight pressure in your body and the feeling like something or someone else is 'in your head.' In other words, as soon as you start to hear a voice responding as we begin to cast out demons, speak up. You may hear answers to demands made to "Come up and out" As stated earlier, It is helpful to let us know what is said.

    As your deliverance session comes to a close and you are now free, you will experience clarity, peace, feel lighter than before, your mind will be at ease, your desire and ability to connect with God will feel intensified, heightnened, less hindered, and your specific manifestations will stop.  You could experience physical healing, and receive the infilling of the Holy Spirit. He is the One who delivers you, heals you, empowers you, and equips you to walk in newness of life. People leave feeling like a brand new person. You will be born again, if you have not already accepted Jesus as your Lord and Savior. If you are a Christian, the flame in your heart for your first love will be rekindled as He sets you free from the bondage of the enemy. The best part of all is the newfound hunger and desire you have to seek Him and spend time with Him. As wonderful as all that sounds, keep in mind that deliverance does not mean a life without persecution. Jesus said that if anyone wants to follow Him, he will endure persecution. Gauranteed! Life moving forward will not be free of hardship, but you will have oneness with the Father, the Son, and the Holy Spirit. Jesus promised that the Father would send the Helper. The Holy Spirit to guide and lead us every step of the way. Deliverance is like a reset button. You get to face life without those pesky demons hiding within you. Remember that there is a sanctification process that is pivitol in maintianing a powerful walk with Jesus. The renewing of your mind/ mindsets happens as you read the word. Jesus said in John 15:1, 4-5 "I am the true vine and My Father is the gardener...Remain in Me, as I also remain in you. No branch can bear fruit by itself; it must remian in the vine. Neither can you bear fruit unless you remain in Me. I am the vine; you are the branches. If you remain in Me and I in you, you will bear much fruit.; apart from Me you can do nothing." If you open the door, even just slightly, you already know who will come in. Your sanctificaiton began when you were born again. And it will continue once the evil spirits leave.  It's important to seek wisdom and discernment from Holy Spirit on how to maintain your deliverance. By keeping the doors closed and every entry point shut, you can begin the discipline of sanctification by reading the word and spending time in fellowship with Jesus. After demons are removed, you will experience peace on the inside of you. The circumstances around you may not change, but God is working to bring to completion the good work He began in you. As you spend time daily fortifying the kingdom of God on the inside of you, you will experience breakthrough, a powerful connection with Holy Spirit, and ever-increasing revelation from God's word on how to walk out this adventurous life with God filling you up every single day.

  • Only Select sins/behaviors you have STRONGLY struggled with and would like to renounce.
  • BEFORE your session it is important that you read the Most Commonly Asked Questions (MCAQ) page on this website. It will answer ANY questions you may have and help you understand a lot of the ways demons can have gain legal access. It will aid you in preparation for a successful deliverance. By reading the MCAQ page, it will also prepare you for what to expect on your day of deliverance as well as the week leading up to it*
  • Are you willing to participate in a 24-hour liquid fast the day before your deliverance session(s)?*

  • Cancellations

    Kindly let us know as soon as possible

  • If you need to cancel your deliverance appointment, we understand. Our team will begin preparing and fasting for your session 24 hours prior, so giving us notice as soon as possible will be helpful. As a common courtesy to us and the likelihood of scheduling the next person on the waiting list, we ask that you give us 48 hours notice. Again, we completely understand that things come up, but please notify us as soon as possible. Thank You.

  • This Ministry and Love Offerings

  • Any love offering to Jesus Lives Ministry is appreciated. If you do not feel led to give to this ministry, PLEASE find one that supports you, encourages you, and feeds you in your walk with the Lord. If you have any questions reguarding giving or tithing, please take a moment to read What the Bible says about Money in the teachings Tab.

    Corinthians 9:7 says that "Each of you should give what you have decided in your heart to give, not reluctantly or under compulsion, for God loves a cheerful giver."  

    Any love offreing always appreciated, but more importantly, I am asking for prayer. If you feel you have been blessed by this ministry, please pray for us. That is the greatest honor and gift we could ever receive. Prayer is powerful and can move all of heaven to impact what we do in the earth. As you sow into this ministry through prayer and/ or through a love offering, know that you will be helping to set the captives free and loose chains from off of those who are bound. Our Father has asked us to engage in the battle for souls, and rescuing those brothers and sisters trapped in the enemies camp. This ministry is all about fulfilling God's will to see those He loves freed from the plans of the enemy. I love to see people transformed by the power of God. There is no other work I would rather be doing. I am honored you chose to come us for healing and deliverance. You are welcome to join me and my team in support of advancing the kingdom.

    Thank You and May God bless you and keep you. May His face shine upon you, be gracious unto you, and May He give you peace.

     

    If you feel called to intercessory prayer over the nation of Iceland, Germany, Spain, Italy, or England, check out the Powerful Prayers and Declarations tab and please email me at rakel@jesuslivesministry.com  

  • Liability Release Form

    Must be signed before your deliverance session

  • Jesus Lives Ministry is a biblically-based training, equipping, and prayer ministry. The deliverance portion of this ministry is considered a form of pastoral counseling, not professional counseling. We work with you as you choose to work with us. If you are dealing with serious conditions like physical and mental illness or addiction, please do not disregard seeking professional help in conjunction with the help you seek through divine healing.

    Jesus Lives Ministry commits to keeping your personal information concealed. However, this ministry is required by law to report any physical and sexual abuse currently taking place with a minor. 

    We are not licensed medical professionals: This ministry is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this form or encountered through this ministry.

    I hereby acknowledge and affirm that all the answers given by myself in response to the questions in this form are voluntarily submitted and the information is true to the best of my knowledge.  I hereby release, indemnify and forever hold harmless Jesus Lives Ministry and its agents, staff, employees, and volunteers of any damages, real or perceptual, arising from personal ministry in connection with the information submitted herein.

         1. I release, waive, discharge and covenant not to sue Jesus Lives Ministry, their officers, servants, agents, volunteers, staff or employees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the Ministry or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted.
        2. I am fully aware of risks and hazards connected with the activity, and I elect to voluntarily participate in the activity, and to engage in such activity knowing that the activity may be hazardous to me and my property. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such an activity, whether caused by the negligence of the Ministry or otherwise.
        3. I further agree to indemnify and hold harmless the Ministry from any loss, liability, damage or costs, including court cost and attorney fees, that they may incur due to my participation in the activity, whether caused by negligence of the Ministry or otherwise.

    It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs assigns and personal representative, if I am deceased, and shall be deemed as a release, waiver, discharge, and covenant not to sue the above named Ministry. I further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of Iceland, Europe, The United States of America, or specified country I am currently residing in. 

    In signing this release, I acknowledge and represent that I have read the above Waiver and Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral presentations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same.

  • First name * Last name * Name of person receiving deliverance

  • First name Last name Name of parent or legal guardian (If under 18) Parent or legal guardian must sign on the signature line below.

  • Should be Empty: