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Sick and Shut In
We take seriously the invitation God offers to us to approach God’s throne of grace and healing with our prayers and petitions on behalf of those who are in need.  Please let us know when you or someone in your circle desires prayer. 

Call the church office at (718) 622-1818 and speak with our receptionist.  She will insure that your needs are communicated properly and in a timely manner.

Sick/Shut-In Information:

First Name:

Last Name:

Hospital/location:

Address:

City:

State:

Zip:

Phone:

Prayer/Visit Requested By:

First Name:

Last Name:

Relation to above:

Phone:

Email:

Best time to visit:

Day:

Time:
Frequency:
Daily

Weekly

Monthly
 
 
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