Pastoral care request

Use this page to request pastoral care from Episcopal Church of the Redeemer.

Note: Making a pastoral care request does not automatically add someone to the weekly prayer list. If prayers of the parish are desired, go to Prayer Request.

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Your name, the person making the request *

First

Last

Let us know who is making this request.

Your telephone number

Let us know how to contact you, the person making the request, by telephone.

Your email address *

Email

Confirm Email

Let us know how to contact you, the person making the request, by email.

I have permission to make this request for someone else, or I am making this request for myself. *

• I have permission, or the request is for me.

To respect privacy, if you aren’t making this request for yourself, you should have permission from the person.

Person in need of pastoral care *

First

Last

Let us know who needs this pastoral care visit.

Telephone number for the person

If available, let us know a telephone number for the person who desires pastoral care. This may be a nurses station or similar telephone.

Email address for the person

Email

Confirm Email

If the person who desiring pastoral care visit has access to email, what is their email address?

Event timing *

• Planning for a future event, such as a future operation
• Something happening now
• Something in the past, but has ongoing needs

This lets us know whether you are planning for the future or if this is a current need.

person request to

Pastoral care visit location *— Select Choice —Swedish Edmonds Campus, 21701 76th Ave W, EdmondsSwedish Ballard Campus, 5300 Tallman Ave NW, SeattleSwedish First Hill Campus, 747 Broadway, SeattleSwedish Cherry Hill Campus, 500 17th Ave, SeattleProvidence Regional Medical Center (most services), 1330 Rockefeller Ave, EverettProvidence Regional Medical Center (Inpatient Behavioral Health, Hospice), 1321 Colby Ave, A Wing, EverettProvidence Regional Medical Center (Family Maternity Center and Children’s Center), 900 Pacific Ave, EverettProvidence Regional Medical Center (Substance Use Treatment and Recovery Services), 916 Pacific Ave, EverettEvergreenHealth Medical Center, 12040 NE 128th Street, KirklandEvergreenHealth Monroe, 14701 179th Ave SE, MonroeOverlake Medical Center, 1035 116th Ave NE, BellevueOverlake Childbirth Center, 1035 116th Ave NE, Building 1, E2, BellevueHarborview Medical Center, 325 9th Ave, SeattleUW Medical Center – Montlake, 1959 NE Pacific St, SeattleUW Medical Center – Northwest, 1550 N 115th St, SeattleKaiser Permanente Central Hospital, 201 16th Ave E, SeattleVirginia Mason Medical Center, 1100 9th Ave, SeattleSeattle VA Medical Center, 1660 South Columbian Way, SeattleOther facilityAt home

Select a location from the list. If the location is not listed, add the location in the following text box.

Location additional information

If the pastoral care location is not in the list, add it here. You can also add useful information for listed locations, such as room number or date of planned operation.

Best time or times for a visit *

• 8:00 am to 10:00 am
• 10:00 am to 12:00 noon
• 1:00 pm to 3:00 pm
• 3:00 pm to 5:00 pm
• Other time (add to “location additional information”)
• No specific time

Normally, when is the best time to plan a visit? You may select more than one.

Type of visit *

• Eucharistic Visitor (bring communion)
• Ministry of Presence
• Confession
• End of Life (near death)
• Hospital, Care Facility, or Home Visit
• Create a Meal Train for a person at home recovering (add details to location information)
• Other need (add details to location information)

Select one or more choices

Discharge planning *

• Plans have been made
• Plans are being made
• No plans have been made yet
• I do not know

Do you know if discharge plans have been made?

Planned discharge location *

• Home
• Another care facility
• From home to a care facility
• I don’t know

To what location will the person be moved?

Additional planned discharge information, if known

This can be the planned new care facility, planned date of transfer, or any other information that could be useful in providing pastoral care. For example, if being discharged to home, will this person need meals delivered for a period of time?

Consent agreement *

• I consent to having this website store my submitted information so people can respond to my request.

This information will be given to people, staff and lay people, involved with pastoral care at Episcopal Church of the Redeemer in Kenmore, Washington. This request cannot be recalled. If you need to modify your request in any way, make a new request. We will go with the last request you make.

Make your request

Church of the Redeemer

Church of the Redeemer: Worshiping God, living in community, and reaching out to the world. We are an Episcopal Church serving north King County and south Snohomish County, Washington. As you travel your road, go with friends walking the way of Jesus at Redeemer.

Church of the Redeemer is at 6220 Northeast 181st Street in Kenmore, Washington. We are a short distance north of Bothell Way, near the Burke-Gilman Trail. The entrance looks like a gravel driveway. The campus is larger on the inside than it is on the outside. And we managed to hide a large building on the side of a hill that is not easily seen from the street.

The Episcopal Church welcomes you.