ECA Pastoral Visitation Form

Pastoral Team

Confidential

Copy and paste this form into your email

Date of visit or contact: _______________________ _ _

Visitor: ___________________________________ __

Person visited: ____________________________ ___

Location visited: ___________________________ ___

Please check the type of visit/contact below:

LEM II	#Participating:	#Receiving:
Pastoral Care
Food Delivery
Phone Call

Additional comments:
_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Please email completed form to the Church Office within 24 hours.
Jan Welch (admin@ascensiondallas.org)

CC: Curt Gadsden (gadsden@attglobal.net)

CC: Rev. Kai Ryan (revkryan@ascensiondallas.org)

CC: Judy Rasbury (DRAS1204@aol.com)