Adrian Kirby Ministries is excited to help you move forward in your journey to a happier, healthier, and more fulfilling life.

The following pages will include questions that help us to better prepare for our future sessions together. We encourage you to complete the form as best as you can with as much detail you are comfortable sharing.

Adrian Kirby Ministries ("AKM") is a prayer and deliverance ministry. Deliverance ministry is considered a form of pastoral counseling which incorporates spiritual guidance and religious teachings. As such, we are not licensed as professional counselors to provide a clinical diagnosis. We work with you only as you choose to work with us. Though we suggest a donation, we do not refuse anyone for whom a donation is not an option.

God has seen fit to work with and through Adrian Kirby Ministries in moving people toward freedom from spiritual, emotional and even physical problems. It is our expectation that our time will be led by the Holy Spirit to help you during our session. We have no specic agenda in our time together. The goal of inner healing and deliverance ministry is to heal wounds and remove spiritual obstacles to our intimacy with God.

What usually happens in this type of ministry is that God brings a kind of “leap” toward wholeness in each session. Sometimes additional work is necessary for a person to attain the complete freedom he/she and God desire. It may be advisable for the person to receive help from a professional counselor as well. I strongly advise this, especially in dealing with dysfunctional habits. It is always advisable for the person to actively pursue spiritual disciplines such as church attendance, prayer, Bible study and worship.

We are committed to keeping confidential whatever you share with the ministry team. We are, however, required by law to report to appropriate persons two kinds of things:

• Any intent of a person to take harmful, dangerous, or criminal action against another person or against him/herself.
• Any act of child or elderly abuse or neglect.

If it appears that such notification needs to be given, that intention will be shared with you first.

In order to provide the appropriate legal protection, we ask that each person sign the following Statement of Release.

We respect your privacy and do not NEED any of the information below about your health. It can be helpful in determing how we pray, but we are not a medical establishment and we are not HIPPA compliant.

The following is strictly voluntary.

Preparation for meeting with AKM:

Deception vs Truth (study 1 John 1:4-2:2)

Bitterness vs Forgiveness (study Eph 4:31)

Rebellion vs Submission (study Rom 13:1-5)

Examine yourself with regard to any rebelliousness in relation to each of the following. Notice that each passage promises a blessing for a submissive response.

1. Civil government (1 Tim 2:1-3; 1 Pet 2:13-16)
2. Parents (Eph 6:1-3)
3. Husband (1 Peter 3:1-3)
4. Employer (1 Pet 2:18-21)
5. Church leaders (Heb 13:17)

Pride vs Humility (study James 4:6-10)

Examine yourself to see if you are consciously or unconsciously seeking your will more than God's.

Bondage vs Freedom (study Galations 5:1)

Examine yourself in the light of the following passages:

• Romans 1:24-31
• Galations 5:19-21
• 1 Corinthians 6:9-11
• Revelations 21:8, 22:15 

Four Important Questions:

1. In your own words describe and evaluate your problems.
2. What have you done about it?
3. What are your expectations in coming to AKM for ministry?
4. Is there any other information we should know?

Please document any responses you have to the preceding scriptures and questions and bring with you to your session with AKM.