CCA Pastoral Care Visit Recap
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Your Name & Name of Visitation Partner/s *
Please submit one report per visitation team.
Your email *
Name of Person/s Visited *
ie: Bob and Mary Smith or Mary Smith - use a separate form for each visit
Date of Visit *
MM
/
DD
/
YYYY
Time of Visit *
Time
:
Location of Visit *
Communion Shared? *
Required
Total # of People Receiving Communion
Visit Notes *
Submit
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