Record of CCRC Congregational Care Visit

Please complete this SECURE on-line form accurately for each Visit or Significant Conversation (e.g. telephone call or in-coffee shop visit). Also complete the Form if you were declined or refused a Visit. Please read the instructions for each item, particularly with respect to the 'Date'

Press 'submit' at the bottom of the form to send it securely to the Congregation Care records database. Enter all items; Incomplete entries will prevent submission. If necessary, a paper copy may be submitted to the CCRC office for entry.

NOTIFY the District Elder if you've entered an 'ALERT for Elder'.

Thank you for participating in CCRC Congregation Care!

(form revision date: 2017.06.28)

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