This ministry is a prayer counseling ministry and is spiritual counseling. We are not professional counselors and are not licensed or insured as such. We work with you only as you choose to work with us. We do charge a fee of $70 per hour.

God has seen fit to work with and through us in moving people towards freedom. It is, therefore, our expectation that He will use us to help you, but we cannot guarantee specific results. We will promise to do our best to work with God for your good and His glory.

God initiates healing and deliverance to bring us to wholeness. To maintain that wholeness and freedom, it is necessary to develop a lifestyle of communion with and obedience to God. It is also advisable to pursue spiritual disciplines such as church attendance, prayer, Bible study, and worship. 

 
We are committed to maintain confidentiality, but are required by law to report to the appropriate person(s) two kinds of things:

1. Any intent of a person to take harmful, dangerous, or criminal action against another person or against themselves.
2. Any act of child or elderly abuse or neglect.

If such notification is to be given, that will be shared with you first if appropriate.

 
In summary we encourage you to;

1. Be expectant that God will minister to you through this counseling.
2. Be patient with yourself, with us, and God.
3. Be prayerful and open for growth and change under the guidance of the Holy Spirit.
4. Engage your will to work with the Holy Spirit and us to move towards what God wants for you.
5. Be open to the truth, the truth will set you free. 

By signing this agreement, I declare I have read the above and agree to release Life Recovery, Inc. and any prayer counseling minister/leader/intercessor who prays with me, from any and all liability that may occur as a result of this prayer counseling ministry.

I also hereby acknowledge that this is a prayer counseling ministry. I have full knowledge that this is a voluntary relationship and my participation is by my own free choice which can be discontinued by me at any time. I understand that it is in no way represented or implied to be a “professional counseling session.”

We require 48 hour notice of your intent to cancel a scheduled appointment. Failure to do so will require full payment for such session. This also includes “no show" appointments.

Marjorie Cole MS, Counseling Psychology from St. Cloud State University. 

 
Ms. Cole has worked in both inpatient and outpatient settings in both mental health and addictions counseling.  She specializes in biblical counseling with an emphasis in deliverance, inner healing, spiritual warfare, and breaking generational curses.

 
“THE STATE OF MINNESOTA HAS NOT ADOPTED UNIFORM EDUCAITONAL AND TRAINING STANDARDS FOR ALL MENTAL HEATH PRACTITIONERS. THIS STATEMENT OF CREDENTIALS IS FOR INFORMATION PURPOSES ONLY.”

 
The client has a right to file a complaint with the office of Mental Health Practice; Minnesota Department of Health, 121 E. 7th Place, Suite 400, P.O. Box 64975, St. Paul, MN 55164-0975, or call (651)282-5621 or 1-800-657-3957.

 
Fee for service will be $70.00 per hour. We do not accept third party reimbursements from any health insurance companies or governmental agencies. All payments are self-pay and due upon the time of service. We do accept all major credit cards. 

 
The client has a right to reasonable notice of changes in services or charges.

 
The client has a right to complete and current information concerning the practitioner’s assessment and recommended course of treatment, including the expected duration of treatment.

Clients may expect courteous treatment and to be free from verbal, physical, or sexual abuse by the practitioner.

 
Client records and transactions with the practitioner are confidential, unless release of these records is authorized in writing by the client, or otherwise provided by law.

The client’s right to be allowed access to records and written information from records in accordance with section 144.335 of the Minnesota statues.

Other services may be available in the community, including social services.  Information can also be  found in the yellow-pages, and the Christian service directory. Other information and services may be available from your local church or synagogue.

 
The client has the right to choose freely among available practitioners, and to change practitioners after services have begun, within the limits of health insurance, medical assistance, or other health programs.

 
The client has a right to coordinated transfer when there will be a change in the provider of services.

 
The client may refuse services or treatment, unless otherwise provided by law and the client may assert the client’s rights without retaliation.  

 
ACKNOWLEDGEMENT BY CLIENT.  Prior to the provision of any service, the client must sign a written statement attesting that the client has received the client bill rights. Signature to this document indicates you have been presented this bill of rights.  

In consideration for being permitted to participate in a voluntary prayer ministry, herein referred to as “Prayer Counseling”, the undersigned,{name}, herein referred to as the “Releasor”, agrees as follows:

 
RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE: Releasor and Releasor’s personal representatives, assigns, insurer, heirs, executors, administrators, spouse, and next of kin hereby releases, waives, discharges, and covenants not to sue Life Recovery, Inc. (Annandale, Mn) and its directors, officers, employees, agents, volunteers as well as its successors, assigns, affiliates, subordinates, and subsidiaries, all herein referred to as the “Releasees”, from any and all liability to Releasor, and to Releasor’s personal representatives, assigns, insurer, heirs, executors, administrators, spouses, and next of  kin for any and all loss, damage, or cost on account of injury to the person or property or resulting in the death of Releasor, whether caused by the negligence of Releasees or otherwise while Releasor is participating in the Prayer Counseling and any other activities in connection with the Prayer Counseling. 

ASSUMPTION OF RISK: Releasor understands, is aware of, and assumes all risks inherent in participating in the Prayer Counseling.  These risks include but are not limited to, physical and emotional responses and reactions as a result of this Prayer Counseling.

INDEMNITY: Releasor agrees to indemnify Releasees from any liability, loss, damage, or cost Releasees may incur due to the participation by the Prayer Counseling whether caused by the negligence of Releasees or otherwise.  Releasor assumes full responsibility for and risk of bodily injury, death or property damage due to negligence of Releasees or otherwise while participating in the Prayer Counseling. 

 
Releasor expressly agrees that this Voluntary Release, Assumption of Risk, and Indemnity Agreement, herein referred to as “Agreement”, is intended to be as broad and inclusive as permitted by the laws of the state of Minnesota and that, if any portion of this Agreement is invalid, it is agreed that a balance, notwithstanding, continue in full legal force and effect.  This Agreement contains the entire agreement between the parties in regard to the Prayer Counseling.

RELEASOR REPRESENTS THAT:

I HAVE CAREFULLY READ THIS AGREEMENT.  I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS, INCLUDING THE NEGLIGENCE OF RELEASEES.

I UNDERSTAND THAT I ASSUME ALL RISKS INHERENT IN THE PRAYER COUNSELING SET FORTH IN THIS AGREEMENT.

I VOLUNTARILY SIGN MY NAME EVIDENCING MY UNDERSTANDING AND ACCEPTANCE OF THE PROVISIONS OF THIS AGREEMENT.