Divine Healing Testimonial Worksheet

Complete this form online at www.cwgministries.org/healingworksheet or download (175k PDF) and fax to 716-685-3908, or mail to 3792 Broadway St., Cheektowaga, NY 14227

Report made by E-mail address

Client’s name City State

Client’s e-mail address Client’s phone number

Infirmity prayed for Date

People praying

Length of time in prayer # of times prayed for previously

First Prayer
Reduction of pain % Time taken
Infirmity healed % Time taken

Second Prayer
More reduction of pain % Time taken
Infirmity healed % Time taken

Check tools used:
confessed sins
entered God’s presence
received revelation on root cause
commanded pain to leave
commanded demons to leave
spoke specifically to body parts to be healed
teamed up for greater revelation
used oil
forgave anyone brought to mind
broke generational sins and curses
severed ungodly soul ties
replaced negative beliefs
renounced inner vows
broke word curses
inner healing
deliverance
saw light enter specific body organ
felt heat
felt energy/tingling
2-5 people gave a 15-minute divine radiation treatment
got feedback regularly from client
with eyes of heart saw the healing complete
praised God for the completed healing

Names of demons cast out:

Written summary:
Record a summary of the revelation received during prayer time and the results of acting upon this revelation. If the revelation was received by the sick person – put their name next to that revelation. Also record below and on the back of this page a full summary description of the healing ministry that took place and discuss any medical confirmation of the healing. To help us connect medical confirmation which you send at a later date, please provide the infirmity that was prayed for, the date of the prayer and the person who received the prayer. Thank you!

Contact Us

Order Line

1-800-466-6961
(Continental USA Only)

Phone

716-681-4896
(All other areas)

Fax

716-685-3908

Street Address

3792 Broadway St
Buffalo, NY 14227-1123
USA

Email

cwg@cwgministries.org

Note: We can only speak English.