Care

Care Request

Thank you for seeking care at Shoreline Church. Please complete the form below. Upon receipt of completed application, it is reviewed by members of our Care Team and we will connect you with someone who can help.

If you are in crisis, facing an emergency or require immediate assistance, please call 911.

Tell us a little about you.

Do you attend Shoreline Church?*

Yes
I watch online
No, but I would like to speak with someone

Name*

First Last

Date of Birth*

MM

DD

YYYY

What city do you live in?*

Email*

Phone*

Best time to contact?*

Are you currently part of a team or group at Shoreline Church?*

Yes
No

Which group or team do you serve with?*

What type of care are you seeking?*

What is your wedding date?*

MM

DD

YYYY

Are you looking for premarital counseling?*

Yes
No

Do you want a wedding officiant?*

Yes
No

Wedding Location*

Sorry to hear about your loss. How can we help you during this time?*

Do you currently have a support system?*

Yes
No

Please explain your support system

At Shoreline, we partner with the following local resources

Celebrate Recovery at Destin United Methodist

Call (850) 837-2021

Parental Support*

I would like to have my child(ren) dedicated.
I need help and support for my children.
I would like to connect with other mothers.
I need help parenting my child and navigating this time in our family life.

Provide us with any pertinent information you'd like to share with our team to help us respond to your request. Please include the ages of your children.*

Financial*

I am seeking financial support during an unforeseen circumstance.
I am in need of assistance to pay my rent, utility bills, need help locating affordable housing, etc.
I would like to get out of debt.

Please complete an application for Benevolence. Upon review, a staff member will be in contact with you concerning the details of your request. Please click here to fill out the application online.

We are community partners with Others, Inc., an organization working to partner alongside and practically resource members of our community facing difficulty meeting practical needs. Please click here to contact them directly for assistance.

Click here to enroll in Financial Peace University.

I am requesting visitation from Shoreline's pastoral staff.*

A hospital visit.
A home visit.

Please provide our team with details. A member of our team will contact you shortly.*

Mental Health*

I am in need of mental health counseling.
I am going through a difficult time navigating a life event.
I need help dealing with a pattern of addiction in my life.

While Shoreline Church does not offer mental health counseling, we do believe in living from a place of freedom in knowing who we are in Christ, and operating out of health and wellbeing. We are eager to support you as you pursue health for yourself and/or a loved one in your life. Please provide us with the following information and someone from our staff will be in touch.

Are you currently connected to a Group at Shoreline Church?*

Yes
No

Please specify the Group(s) you attend and/or where you serve at Shoreline.*

While we do not offer in-house resources for areas of addition and/or chemical dependency at this time, a member of our pastoral staff would love to pray with you as you pursue freedom from destructive patterns. Please provide us with the following information and someone from our staff will be in touch.