Pastoral Care Prayer Request
Let us pray... Please fill out this form and click submit.
Your contact information
Name
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Phone
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Email
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Prayer request information
Who are we praying for?
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How are they connected to Park Chapel?
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Specific prayer request includes:
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Surgery/Procedures
If surgery, please provide date of procedure, place and time if known:
Please provide a home address, nursing home or hospital info so that we can send a card or visit.
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How can we help?
May we include this on the public prayer list?
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Please select all that apply.
Yes
No
Please share an email and/or phone number where the person we are praying for so that we can keep in contact.
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“Are any of you sick? You should call for the elders of the church to come and pray over you, anointing you with oil in the name of the Lord.” - James 5:14)
Would you like the elders to pray with you according to James 5:14? You will be contacted to schedule.
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Please select all that apply.
Yes
No
Submit
Description
Let us pray... Please fill out this form and click submit.
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