Hawley United Methodist Church


Visitation Record
Please submit one (1) report for each visit you make.

Minister of Visitation:
Date of Visit:
Person Visited

Type of Visit: Personal
Phone

Location of Visit: Home
Hospital
Nursing Home
Other: Please specify in notes
Not Applicable

Purpose of Visit: New Referral
New Member
Social
Health Related
Bereavement
Family Issue
Other: Please specify in notes

Communion Shared? Yes
No

Notes:
  






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