Saint Pius X Catholic Church

52553 Fir Road, Granger, IN 46530 | 574-272-8462

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If you know someone in the hospital (loved one or friend) who would like to be visited by a priest, please let us know by completing this form.

Information will be conveyed to a priest within 24-hours of submission.

If this is an emergency situation, call 574-272-8462.
The maximum number of form submissions has been reached. This form is currently not available.
- Please submit information for the parishioner who is hospitalized.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
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- PHONE Please enter valid data.
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- HOSPITAL REQUIRED Please fill out this field.
- IF HOSPITAL NOT LISTED, INCLUDE HERE: Please enter valid data.
- REASON FOR HOSPITALIZATION
- Please submit your information in the event we need to contact you.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
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- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
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- TODAY'S DATE AND TIME OF SUBMISSION REQUIRED Please fill out this field. Please enter valid data.
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