Form Instructions: In order to enable Don Dickerman Ministries to provide you with a thorough private deliverance session, please complete the Pre-Deliverance History form. This will allow us to prepare for your session with one of our team members. If you have not viewed the “Introduction to Deliverance” video, please visit our website (www.dondickerman.com) prior to your appointment. Please sign the Covenant Release at the bottom of the form. All information that you provide is
strictly confidential to Don Dickerman Ministries only.
Submit the form by pressing the "Continue Request" button at the bottom.