GEEL - Gospel Care

This form is a way to let the Geelong Staff Team know about someone who may need extra pastoral care, beyond what’s usually provided through Gospel Communities or Sunday Services. This might include prayer or spiritual support from a City on a Hill staff member or our Gospel Care team.

This is not professional care (such as counselling or psychology), or practical help (like meals or financial support). If those needs are also present, please mention them below.

You can fill out this form:

For someone else, with their permission, or
For yourself, if you’re seeking care

We’ll do our best to be in touch as soon as we can. Thank you for your patience.

Your name *

Email address *

Phone number *

Details of person requiring care

If you are filling this form for yourself, please skip this section and go to the Description section

I have permission to share this person’s details *

Yes

Full name of person requiring care

Phone number of person requiring care

Gender *

Is this person in a Gospel Community? *

Yes

Unsure

Description

Describe the care required

Please share a short, factual description of what’s happening and the kind of care being sought.
Only include details the person would be comfortable having shared.

Thank you

We’ll be in touch as soon as we’re able.
If there is immediate danger, please call 000.
For urgent support, contact Lifeline – 13 11 14 (24/7 support).

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