Use this form to share notice that an HAUMC member or family member has been hospitalized.
Do not use this form for confidential situations; instead, please use CONFIDENTIAL PASTORAL CARE.
Do not use this form for births or deaths. Use BIRTHS/DEATH notification instead.
There is a Notes section at the end for details and special instructions.
Although it works in most browsers, Google Chrome provides the best experience to complete this form.
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Reason for Call (check all that apply to this call)
HAUMC Member is in Hospital
HAUMC Member placed in Hospice
A Family Member is in Hospital or Hospice
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This form was created inside of HAUMC.