Barnabas Ministry Report Form

Name of Person(s) visiting________________________________________________

Date visited____________________________

 

Name of person(s) visited___________________________________________

Where visited, i.e., home, retirement home, etc.________________________________

Brief summary of visit. Include general condition of person – physical,
emotional, mental and/or spiritual
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Are there any special needs? i.e., tests, upcoming surgery
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

Does the person need a visit by a minister?   ___yes     ___no

If so, explain nature of visit__________________________________________

Did you serve communion?   ___yes     ___no