House of Hope HeartSync Request Form
Thank you for your interest in HeartSync Ministry at House of Hope Healing Center. We delight in partnering with the Holy Spirit to bring wholeness, freedom and victory to people’s lives! HeartSync appointments are 2-3 hours of ministry by a team of 2-3 ministers from House of Hope. At the present time, we are offering only virtual online sessions. We are believing God for breakthroughs! If you have any questions, please email admin@ihouseofhope.com.
Name of the Ministry Recipient
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First Name
Last Name
E-mail Address
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Confirmation Email
Name of person filling out this form (if not for yourself)
First Name
Last Name
Cell Phone Number
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-
Area Code
Phone Number
I verify that I am the person requesting ministry for myself.
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Yes
No. Please note special circumstances in the comment section.
Your gender
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Male
Female
PLEASE NOTE: We have A 2-4 month waiting list. If you feel your need is urgent, please indicate this below and we will provide you with some options for more immediate care.
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My need is urgent.
I am able to wait for my turn to come up.
What kind of service team is acceptable to you?
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All female team
Co-ed team is acceptable.
Co-ed team OR All female team is acceptable.
When are you available for appointments?
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Weekdays only
Saturdays only
Either Weekdays or Saturdays.
My schedule is limited. Please comment below.
When was your last ministry session with House of Hope?
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If you are new to House of Hope, please put "N/A."
I am over 18 years old.
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Yes
No
Please indicate your Time Zone
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How did you find out about us? Specific names if possible. (optional)
Other comments or concerns.
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Please verify that you are human
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ONE MORE STEP!
After clicking the SUBMIT button below, you will be redirected to complete our House of Hope ONLINE RELEASE OF LIABILITY form. This form is required prior to scheduling an appointment.
Submit
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