Sozo

Name *

First Name

Last Name

Gender *

Male

Female

I confirm I am over 18 years of age *

Yes

Are you currently receiving treatment from a mental health professional? *

Yes

No

Are you a part of a regular Life Group / Home Group? *

We believe that your local church is the best place to receive support to carry on walking into ongoing freedom and personal wholeness. We would encourage you to join a small group if you are not already part of one.

Yes

No

How would you like your Sozo? *

In person

Zoom

Have you downloaded the Forgiveness sheet to go through before your appointment? *

Yes

When would you like your Sozo? *

Daytime

Evening

I am flexible

Read and confirm *

Please read the following liability release information and tick to confirm you have read and understood it: I hereby release the Bethel Sozo Ministry of River Church and its volunteers from any liability for any harm, resulting from my voluntarily receiving of the sozo ministry on this and subsequent visits. I understand that the Bethel Sozo Ministry of River Church is staffed by volunteers. They are not trained or licensed professionals of counselling, therapy or medical services. I undertake that if I am currently taking medication, or operating under advice of a professional service, I will allow my medical doctor, therapist, counsellor etc. to confirm any results of the sozo ministry received before altering any prescribed course of medication or action. I further state that I have voluntarily sought assistance at my own initiative and that I am under no obligation to accept or reject any of the help that I might receive from the team members during my sozo appointment. I understand that these team members are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I also agree to hold River Church free from any and all liability, loss or damage of any kind that may arise as a result of assistance that I have received or from my involvement with the sozo ministry at River Church. I understand that the people who will see my information will be Bethel Sozo ministry team members only. However, in certain circumstances they are legally bound to pass on information to the relevant authorities if a person is a risk, a safeguarding concern relating to an adult or child, or certain criminal acts are disclosed. For instance the Children Act 1989 requires any disclosures in respect of child abuse to be reported to the Social Services Department.

I have read and agree to the conditions in the Bethel Sozo UK Liability Release Form above