VOUS Care Request

At VOUS Church, we believe no one should walk through life alone. If you're facing a challenging season, our Care Team is here to support you, pray with you, and guide you to the best next step.

If this is a life threatening emergency, please dial 911.

Are you filling out this form for yourself or someone else?

What is your first and last name?

What is the name(s) of the person needing care?

Your Phone Number

Please provide the best phone number to reach you.

Your Email

Which VOUS Church location do you attend?

How long have you been attending VOUS?

Crew Leaders and/or Team Leaders

Please tell us the name(s) of your crew leader and/or team leader, if not applicable please put N/A.

Reason Requesting Care

Please select the type of celebration

Please select the type of family/marriage need

If you or someone you know is experiencing a mental health crisis or has a plan to harm themselves/yourself or anyone else, please call 911 or the suicide hotline (988) immediately.

What emotional symptoms have you or this individual been experiencing?

Reason financial support is needed

Please select the type of hospitalization or illness

Tell us more

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VOUS Care Request

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VOUS Care Request

Need Care?

Prayer Request

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