Denver Community Church Care Request Form

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This form is for those wishing to request care resources from the DCC Community.

For pastoral care requests, please call 303-777-1102 or email info@denverchurch.org.

If you are in the midst of a mental health emergency, please call 1-844-493-8255, or text “TALK” to 38255

First Name *

Last Name *

Email *

Phone (optional)

Home Address (optional)

I'm requesting care for: *

Myself/My Family

Someone else

If requesting care for someone else, their name is:

What is their contact information? (Phone #, Email, etc.)

What are you requesting care for? *

Prayer

Benevolence (financial aid/resources)

Transportation Assistance

Meals

Housework/Yardwork

Other:

Required

Describe the situation that requires care:

Who should we follow up with? *

You

Person/Family in need of care

Preferred method of contact: *

Submit

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