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Pastoral Care
Please fill out the following form after every Pastoral Care visit. Please be as specific as possible when describing your visit in the "Notes" section.
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Name
*
Name of person making Pastoral Care visit
Your answer
Name of Person Visited
*
Your answer
Date of Visit
*
MM
/
DD
/
YYYY
Notes
*
Your answer
Is a Clergy Visit Needed?
*
Yes
No
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