Building a Mission Community
If you experiencing any emotional, mental or physical troubles then we want to pray for you. You can use the form below.
I am on medication or treatment prescribed by a doctor or healthcare professional.
I am not on medication or treatment prescribed by a doctor or healthcare professional.
Below, please briefly write what is your prayer request.
Below, please provide either a contact mobile number, house phone number or your email address. (In accordance with GDPR, the lawful basis for using your name and your contact details is for contractual purposes. We will not retain your details once you no longer wish us to and we will delete your details from our records. You can request us to delete your details at any time.)
If I am on any treatment or medication, I will not alter any prescribed
course of treatment or medication that was given to me by my doctor or
any other health care professional without first consulting them and
also following their subsequent advice.
I release St Mary's, Old Harlow and its volunteers or staff from any
liability for any outcomes that results from the prayer that
I have received on this or any subsequent times that I submit a
I confirm that am 18 years of age or over.