Seraphic Transition Request

Seraphic Transition Request Confidential & Compassionate

SECTION 1: THE INDIVIDUAL

Who is this request for?

Myself

A Family Member

Name of the Individual:

Current Location:

Home Address / Hospital Name / Care Home in Regina

SECTION 2: THE CONTEXT

The Situation:

Briefly describe the current phase. (e.g., Terminal diagnosis, palliative care, advanced age, or general anxiety about death).

The Fear:

What is the primary emotion present right now? (e.g., Fear of pain, fear of non-existence, worry for family).

Spiritual Framework:

(Optional) Does the individual have a specific religious background, or are they secular/spiritual? (This helps me speak their language).

THE FAMILY

Primary Contact Name:

Phone Number:

Relationship to Individual:

AGREEMENTS

Multi choice

I understand that Joshua is a Transition Guide/Companion, not a medical palliative care provider or legal counsel.

I understand the initial 60-minute meeting is complimentary and limited to the Regina area.

Seraphic Mindscape Integration