homebound visitation Request

HPPC members are committed to loving each other well and that includes people in our church family that can no longer attend worship services and other activities on campus. The Homebound Ministry team, along with a pastor or elder, visit homebound members several times a year to pray with them and serve communion. Ministry team members also have a passion for spending quality time with people, hearing their stories and letting them know that the church loves them and those who care for them. If you, or someone you know, would like to receive communion and/or get connected with a ministry partner for monthly visits, please fill out the form.  

*Please note that visits are limited to the greater Dallas area.

Homebound Visitation Request Form

Name of Member to be Visited*
Member Phone
Residence of Member*

Visitation Type (Check All That Apply)*
Name of Person Submitting Form
Email of Person Submitting Form*
Phone of Person Submitting Form
Additional Information
Please answer the simple math question below to submit the form.
2 + 2 =
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