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Care Request Form

If you are a member of the Redeemer East Side community and find yourself in a challenging situation, we want to hear from you. Submit your responses below and a deacon or deaconess will call you in 36 hours. The information you share will be kept confidential.

Name* (required)

Email* (required)

Phone Number* (required)

Which church do you attend?

What time is the worship service you attend?

How long have you been attending?

Are you a member of a Redeemer community group? If so, who is your CG leader?

Please briefly describe the situation that has led you to seek help or prayer.

Please share your specific request.

Thank you for contacting us! Please check that you receive a confirmation. If you did not, your submission did not go through. Please review the fields above or click here for help.

OTHER WAYS TO REQUEST CARE

Call: 917-206-1451 (calls will be returned within 36 hours)

In case of emergency, please call 911, your local emergency room or 1-888-NYC WELL (888-692-9355).