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Make a Pastoral Request

Please note that in order to protect the confidentiality of these records, certificates will only be issued to the name on the certificate, or to a parent or legal guardian of the person named on the certificate, or to the requesting parish or diocese.  Your signature is needed on the request.

No certificates are issued for genealogical purposes.

Do you need to arrange a priest or deacon or layperson to visit your home, your loved one’s home, a sick or injured loved one in the hospital or nursing home or other care facility?  

You can arrange for a visit, a blessing, confession, eucharist , annointing, or other pastoral care here.  Please fill out the form below and we will call to arrange the 


…Please fill out the form below and we will call to arrange the visit. 

Also, be sure to add a special prayer request for yourself or your loved one as well.

Pastoral Request

Person for whom the pastoral care is needed

Address
City
State/Province
Zip/Postal
Country

Your name and contact info

Name and phone number of person to contact to arrange visit