FCCMI Pastoral Care & Support Request
Share your request and preferred contact details so FCCMI can respond with compassionate, Christ-centered pastoral support.
FCCMI provides Christ-centered, non-clinical pastoral care through prayer, encouragement, biblical guidance, compassionate support, and connection to appropriate resources.
FCCMI Pastoral Care is non-clinical and does not provide medical care, mental health diagnosis, psychotherapy, legal advice, or emergency/crisis services. This form is not monitored as an emergency service. If you are in immediate danger or experiencing a medical or mental health emergency, call 911 or contact an appropriate emergency/crisis service.
Your information will be used solely to respond to your pastoral care request. Please do not include unnecessary highly sensitive medical, financial, legal, or identifying information.
Full Name
*
First Name
Last Name
Email Address
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
State
ZIP Code
Preferred Contact Method
Phone Call
Text Message
Email
Best General Time to Contact
Morning
Afternoon
Evening
Flexible
Type of Support Requested (select all that apply)
Prayer & Spiritual Support
Grief & Loss Support
Relationship & Family Support
Life Transitions & Personal Support
Marriage Support
Community Resource/Referral Support
Other
Please share only what you are comfortable sharing about how FCCMI may support you.
Would you like prayer regarding your request?
Yes
No
Are you currently connected with a church or ministry?
Yes
No
Prefer not to answer
By messaging, you agree to receive messages related to appointment reminders, status updates, and answers to FAQ’s at the provided number from Fully Committed Christian Ministries International, Inc. Message frequency varies, and standard message and data rates may apply. You have the right to OPT-OUT receiving messages at any time. To OPT-OUT, reply "STOP" to any text message you receive from us. Reply HELP for assistance.
REQUEST PASTORAL CARE
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