Care Team Confidential Assistance Request

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Care Team Confidential Assistance Request

Thank you for your interest in receiving help from Christ Community Church. After this form has been reviewed, a Care Team Member will reach out to you ASAP. All conversations and documents are held in strict confidence and will be reviewed by our pastoral staff.

The purpose of the Care Team Ministry at Christ Community Church is to help families and individuals experiencing life’s challenges.

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* Indicates required question

Email *

Your email

Name *

Your answer

Phone Number *

Your answer

Address *

Your answer

Do you currently attend CCC? *

Yes

No

If you would care to, please give a short description of your crisis.

Your answer

Submit

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