Thank you for signing up for the 12:12 Prayer Network!

If you signed up for the Daily Prayer Emails, you should start receiving our daily emails in the near future!
(Be sure to check your spam folder just in case they end up there,
and then let your email service know that these emails are not spam!)

If you signed up for the As-Needed, Specific Prayer Requests,
we ask that you read and virtually sign the Confidentiality Agreement below,
or download the form here, fill it out, and mail to:
ComfortCare Women’s Health, PO Box 924, Staunton, VA 24402.

12:12 Prayer Network Confidentiality Agreement

As a volunteer prayer intercessor for ComfortCare Women’s Health, I understand how vital confidentiality is to the continuation of our ministry. As I serve in my role I may have access to confidential information regarding patients or other privileged information.

  • I will reveal neither names nor details to anyone outside the ComfortCare Women’s Health.
  • I will also respect the spirit of confidentiality and will not discuss confidential information within the Clinic inappropriately or indiscriminately in a gossiping manner.
  • I will keep all patient information in the strictest of confidence.

By typing your name and date below and clicking submit, you are agreeing to the confidentiality rules outlined in this agreement.

Confidentiality

Name
MM slash DD slash YYYY