You need a free account to access our services [TheChamp-Login show_username="ON" title="Register with your social media account"] Chaplain Services Onboarding Schedule Chaplain Services After purchase we will assign the visit to a local chaplain who will then coordinate with you the scheduling of these visits. Below are the questions we need answered before our visit.We need the name of the person making this order First Last Your Email Reports of our visits will go to this email.Your Phone NumberWe would like your number in case there is a mix up, problem or necessary follow-up call. What is the name of the person we will be visiting?Please describe this personWhere do we go to visit this person? Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please describe the address for visitation Personal Residence Nursing Home Business Senior Living Center Drug Rehab Facility Youth Detention Center Sports Facility Hospital What Act of Ministry would the Recipient appreciate the most?Please provide unique questions you want the Chaplain to answer in his report Add as many questions as you want. Click the plus symbol to add more. These questions will be added to the report for the chaplain to answer. Do you have a picture of this person?Accepted file types: jpg, jpeg, png, gif.This field is hidden when viewing the formShow Entry on Website Yes, display my entry on the website Package Value (Three Package Levels) (1-4) Purchase One to Four Visits (5-24) Purchase Five to Twenty-Four Visits (25+) Purchase Twenty-Five or More Visits Our Board Certified Chaplain schedules a visit lasting between 45-55 minutes, produces a professional report describing the client's state of being, clarity, a sense of their spiritual well-being, any personal concerns that come up, the quality of facility care PLUS any client directed questions. QuantityPlease enter a number from 1 to 4.QuantityPlease enter a number from 5 to 24.QuantityPlease enter a number from 25 to 1000.Total $0.00 How do you want to pay for this order?Please use the form below https://visitingchaplains.joinapro.com/service-products/schedule-a-chaplain/ or send a check to Visiting Chaplains LLC 4850 Golden Pkwy Suite B Unit #114, Buford, GA 30518 Δ
