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Who is the person we can call to confirm the visit?
Contact Name
Who can we call to confirm the information regarding the visit? (e.g. do date and time still work for the person?)
Contact Phone
Who is being visited
Please enter legal name of person
Is the person aware of the visit?
If you are not the person being visited please make sure they are aware that someone from Oak Hills Church will be visiting them.
No
Yes
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Hospital or Facility Address
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Room Number
Preferred Date and Time
Inpatient or Outpatient
Inpatient
Outpatient
Reason for visit
Male or Female preferred
Do you have a preference about the person coming to pray with you?
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Female
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Alamo Ranch
Crownridge
Español
Fredericksburg
Journey Fellowship
Natal
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Westside
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