Partner Care

Welcome to your Partner Care Services page. Please know that we are praying for our Partners and their families. Also, know that we are here to serve and assist you and your family during difficult times. If you, or a family member, are experiencing an illness, death, or have a counseling need, please complete the referral form below. After your submission, a Partner Care Team member will be in touch with you within 24 hours.

Partner Care Services*
Please select one.
- Partner Illness
- Partner Death
- Partner Counseling
Email*
Partner Illness
“Heal me, O Lord, and I shall be healed; save me, and I shall be saved; for You are my praise.” Jeremiah 17:14

When an illness occurs in your family or with you, please do one of the following:
1. Report the illness by completing the form below.
2. Or, call the church office at 757-321-9700.
Someone from Partner Care will contact you within 24 hrs. for more information and to pray with you.

If permissible, a Partner Care team member will visit and pray.
Illness Reported By*
First Last
Phone*
Name of Sick / Patient*
First Last
Type of Illness*
Hospital or Home*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Hospital Room Number*
Hospital Room Phone*
Partner Death
“The Lord is close to the brokenhearted and saves those who are crushed in spirit.” Psalm 34:18

When a death occurs within your family, please do one of the following:
1. Report the death by completing the form below.
2. Or, call the church office at 757-321-9700.
Someone from Partner Care will contact you within 24 hrs. for more information and prayer.

A Partner Care team member will assist you as needed. If requested, funeral assistance will be provided for immediate family members (father, mother, brother, sister, child).
Death Reported By*
First Last
Date*
MM slash DD slash YYYY
Phone*
Name of Deceased*
First Last
Relationship*
Transition Date*
Transition Place (City, State)*
Name*
Primary Contact Person
First Last
Phone*
Primary Contact Person
Email*
Primary Contact Person
Comments*
Partner Counseling
Name*
First Last
Date*
MM slash DD slash YYYY
Phone*
Relationship*
Comments or Counseling Need*
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Partner Illness

Partner Death

Partner Counseling

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