Member Care Referral Form

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The Member Care Team of our First UU community (consisting of Ministerial Staff, Care Network and Pastoral Care Team leaders) wish to hear from you about your particular concern(s) which could be practical, emotional or spiritual in nature.

Please share your particular need with us by filling out this form. We want you to know your concern will be noted and that someone from this team will reach out to you in a timely manner. You may also refer someone else with their consent.

Your name *

Your email address *

Your phone number *

Referral name (if applicable)

Referral phone (if applicable)

Brief description of your needs *

Submit

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