Messiah Lutheran Church
Messiah Lutheran Church

Emergency Family Contact form available

Family Contact Information: There are times when Messiah has a real need to have contact information for at least one of your close family members.  A quick example...a couple of years ago I went to a long-term care facility to bring a member communion.  I had been there other times and I knew where her room was.  No one answered and so I went looking for her.  When I couldn't find her in the activity room, etc., I asked at the front desk and was told that the person was no longer a resident there.  I asked where she was and the HIPAA laws prevented them from telling me. I asked if I mailed the woman a letter to the facility if they would forward it to her new address and was assured they would.  I still don't know where she is.  Maybe she moved north to be with family or maybe she's at another facility right here...I don't know. If I had the phone number for one of her two children I would have been able to contact them. There are many other examples I could give. 

Please download, print out and complete the form below, and return it to the church. This information is only for the church office use and will NOT be shared with others.  

Emergency Family Contact Information Form
Emergency contact form 2015
Adobe Acrobat document [48.6 KB]


Messiah Lutheran Church

2691 NE Pine Island Road

Cape Coral, FL 33909


Worship Schedule

Saturday 5:00 pm

Fellowship 4th Saturday


Sunday 9:30 am

Fellowship after Services

Two Sunday Services Resumes on October 1st

Office Hours


9 AM to 12:00 PM


1:00 PM to 4:00 PM


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