Pastoral Care Visit Log
Please fill in the fields below to report your visit or contact.
Name of person contacted or visited
Your answer
Phone number
Your answer
Address
Your answer
Team member who made the visit/contact
Your answer
Date
MM
/
DD
/
YYYY
Type of contact
Is this request confidential (shared only with the pastor)?
How may we share this prayer request? (check all that apply)
Other information to share with Peace Lutheran staff?
Your answer
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