Sick & Suffering Care Form

If you or someone you know is suffering with physical or mental illness, injury, disability, or loss and grief, our Deacons for the Sick & Suffering are here to help. We offer forms of support such as prayer, encouragement, and visitation. Fill out the form below to help us determine how we can best provide care.

**If your need is urgent and requires immediate assistance, please call the appropriate emergency services or one of the relevant organizations listed in our Resources document.

Your name *

Email address *

Gender

Phone number

Details *

Please provide some details about your request, including but not limited to: the name of the person who is sick or suffering, their relationship to you, the nature of their sickness or suffering, their current location, and acceptable visitation date(s)/hour(s).

How would you describe your connection to The Table? *

Please check ALL the boxes that describe your connection with The Table.

I have never attended or watched services at The Table.

I have family or friends that are part of The Table.

I mainly watch services online.

I have been attending in-person services for less than 6 months.

I have been attending in-person services between 6 months and 1 year.

I have been attending in-person services for 1-3 years.

I have been attending in-person services for 3+ years.

I am an active member of a small group.

I am an active member of a serve team.

When was the last time you attended an in-person service at The Table?

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