The Life Church of Memphis

SERVICE TIMES
Cordova Campus:
  Saturday 5:00p
  Sunday 8:45/10:15/11:45a

Collierville Campus:
  Sunday 10:30a
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hospital/home visits

At The Life Church, we strive to share God's love and encouragement with everyone. If you or a loved one needs someone to visit them in one of our local hospitals or in their homes, please complete an online form to request a pastor or a Care and Support team volunteer stop by to pray and offer support.


 * indicates a required field
Patient's Name:* 
Is patient a member of The Life Church?* 
Is the patient serving at The Life Church?*
If yes, which ministries?
Is the patient aware of this visitation request? (The patient must personally request or consent to the visit.)*
Age of the patient:
Does the patient require Spanish speaking visitors?*
Name of hospital or address of home:* 
Room number:
Phone number in room or at home:*
Date admitted: (hospital only)
Diagnosis: (hospital only)
Your first name:*
Your last name:*
Email:*
Street:*
City:*
State:*
Zip/postal code:
Phone:*
Your relationship to the patient:
Are you a member of The Life Church?*
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