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Request a Chaplain Visit

Request a Chaplain Visit

Request a Chaplain Visit

If you would like to request a chaplain visit by an interfaith chaplain for a patient at St. Mary's Medical Center, you can do so by completing the form below. This is a service offered by St. Mary's Pastoral Care Department.

Your Name 
Your Email Address 
Patient's Name 
Patient's Room # (if known) 
Religious Denomination 
Additional Comments 
Authentication * 

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