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Pastoral Care Intake Form
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How can we help you?
I am a new believer
I am interested in being baptized
I have a practical/tangible need
I have a spiritual/doctrine question
I need help making a funeral arrangement
I am experiencing a relational problem (i.e. marriage/parenting/family)
I am interested in pre-marital mentoring
I am interested in getting married at Heartland Church
I am experiencing grief/loss
I need help with recovery (strongholds/addictions/unhealthy habits)
I want help finding a licensed counselor
I need to request a hospital visitation
I would like prayer
Other assistance needed (please explain below):
How did you hear about pastoral care? (small groups, website, weekly email, etc.)
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