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Request Pastoral Care
First name
*
Last name
*
Phone
*
Email
*
Preferred method of contact:
*
Phone Call
Text
Email
Best Time to Contact You:
*
Reason for Pastoral Care Request:
*
Home/ Hospital Visit
Meal Train
Prayer Support
Spiritual Guidance
Mental and Emotional Health
Grief or Loss
Other
Please check all that apply
Please share any details you would like us to know:
Urgency of Request:
*
Not Urgent
Within a Week
Within 48 Hours
Emergency (please call [04...] if immediate assistance is needed)
Submit
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