Please complete the appropiate section for hospitalizations or bereavements in order for our ministry to better assist you. If you need to contact The Worship Center’s Administrative Office, please call 205-451-1750 or send faxes to 205-451-1759.

Hospitalizations

Hospitalization

Follow up Requirements

Has the Patient Requested this Visit *

Bereavement

Bereavement

Please select any area(s) you would like us to minister to you in: *