Receive Care

We understand that with everything going on in our community due to the COVID-19 virus, many people find themselves in unexpected hardships. We can’t promise to meet every need, but we want to help whenever we can. Please take a moment to fill out the following form as thoroughly as possible. The more information we have, the better and quicker we may be able to provide assistance.

After completing the form, someone from our staff will be in touch with you within 24 hours. If you prefer to provide this information over the phone, please call The Hills at, 615-852-5358.

First Name

Last Name

Email Address

Phone Number

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Do you attend The Hills?

If so, for how long?

If not, please list your home church + Pastoral reference including a phone number.

Tell us a little about yourself. What has happened in recent weeks that has created a challenging situation for you?

Due to medical concerns (or advanced age), are you unable to leave your home right now?

Is there anything else you would like us to know?