Pacific Crossroads Church Care Request Form

If you are a member or attender of the Pacific Crossroads Church community and are looking for help, we want to hear from you. Please submit the form below and a member of our diaconate will reach out to follow up on your request. The information you share will be kept confidential.

If this is an emergency, please seek professional help or call 911 immediately. You can also call 1-800-854-7771 (Los Angeles County Access Hotline for mental health services), or call/text 988 (Suicide and Crisis Lifeline).

Care Form

All fields are required. You will receive an email confirmation after you submit this form.