Report a Favor or Possible Miracle Through the Intercession of Monsignor Joseph Buh
BASIC INFORMATION
Full Name
*
First Name
Last Name
Date of Birth
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Method of Contact
Phone
Email
DESCRIPTION OF THE FAVOR OR EVENT
Please describe in detail the favor, healing or grace you believe was received through the intercession of Monsignor Joseph Buh
When did this occur? (Please include dates as precisely as possible)
What was your condition, situation or need before this favor was received?
How did this condition or situation affect your daily life prior to the event?
PRAYER AND INTERCESSION
How did you learn about Monsignor Joseph Buh?
Did you specifically pray for Monsignor Joseph Buh's intercession?
Yes
No
If yes, please describe: When you began praying for his intercession, How you prayed, How often you prayed
Did anyone else pray with you or for you, specifically invoking Monsignor Joseph Buh's intercession?
Yes
No
If yes, please explain
MEDICAL OR PROFESSIONAL CARE (if applicable)
Prior to this favor or healing, were you receiving medical treatment or professional care?
Yes
No
If yes, please describe diagnosis, providers and treatments received
Were you told by a medical professional that the condition was incurable, chronic or unlikely to improve?
Yes
No
If yes, please explain
THE MOMENT OF CHANGE
Was the change sudden or gradual? Please describe
Can you identify a specific moment when you realized the condition or situation had changed?
AFTER THE FAVOR
What is your condition now?
Have symptoms returned?
Yes
No
If yes, please explain
Have you had follow-up evaluations?
Yes
No
If yes, what were you told?
SPIRITUAL FRUITS
Did this experience affect your Catholic faith, prayer life or relationship with God?
Yes
No
If yes, Please describe
WITNESSES AND DOCUMENTATION
Were there any witnesses?
Yes
No
If yes, provide names and contact information
Is there anything else you believe is important for us to know?
CONSENT
Do you give permission for this testimony to be used for the purposes of the canonical investigation?
Yes
No
Signature
Date
-
Month
-
Day
Year
Date
REQUEST FOR MEDICAL RECORDS
If the favor reported involves a physical or psychological healing, please provide copies of all relevant medical records, including: diagnoses prior to the event, test results, treatment records before and after the reported healing, follow-up assessments confirming current condition
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