Care Request

Our Community Heights Care team consists of dedicated volunteers who are there ready to serve our church and community. Whether it's someone in the hospital or if you need prayer, our team will be there!

Please fill out the visit request form below. A member of our care team will contact you. 

Care Request

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Please fill out Name of Place and Room Number if you selected 'Hospital' or 'Nursing Home.' Please fill out Home Address if you selected 'Their Home.'

Home Address:


Is the person aware you have requested this visit on their behalf?*

(If no, we cannot visit until you've received permission from them.)