Pastoral Care

Form for Sinai members to request specific services from Pastoral Staff

Requester / Contact Person Name*
First Last
Are You A Sinai Member?*
- Member
- Non-Member
Phone Number*
Email
Care Being Requested for:
- Upcoming Surgery
- Hospital Stay
- Short or Long Term Care
- Bereavement
Care Request for Upcoming Surgery
Enter your request regarding the upcoming surgery
Care Request for Hospital Stay
Enter your request regarding the hospital stay
Care Request for Short or Long Term Care
Enter your request regarding short or long term care
Care Request for Bereavement
Enter your request regarding bereavement

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