Pastoral Care: 

An outreach ministry to show care and concern to the members of our Christian community who are unable to attend regular church services for various reasons. Outreach includes: visits to homes with Holy Communion, weekly visits to area hospitals, assisting the Pastor with monthly services at Parkstone residence.

Please enter the information below to request a Home Visit from a member of our Pastoral Care Ministry.

* (denotes required field)

Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Please provide your contact phone number: *

Name of the Person who will receive the Home Visit (if other than above):

Is this person aware that a Home Visit is being requested ? *

Yes
No
I am not sure

Address for the Home Visit or Hospital Name: *

Contact Number for the Home Visit (if different than above)

What is the reason for the Home Visit (Select one or more) *

Serious Illness/Immobility
Hospitalization
Holy Eucharist is requested
Other - see Comment Below

Your Comment on the reason for the Home Visit:

Your comments or questions regarding the Home Visit Ministry:

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