Services

If a Death Has Just Occurred

Please accept our heartfelt condolences for your loss. We are here to support you and your family through this difficult time. If you haven't already, please reach out to us at (817) 594-2747 anytime, day or night. We will arrange to bring your loved one into our care and schedule a time for you and your family to visit the funeral home to start the funeral arrangements.

To expedite the process, please complete the form below, which helps us gather the necessary information promptly.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

Galbreaith Pickard Funeral Chapel and Cremation Services

Galbreaith Pickard Hilltop Chapel

prepaidfunerals.texas.gov/

A Year of Grief Support

View information for consumers relating to the purchase of preneed funeral contracts including descriptions of the trust and insurance funding options available under state law. Complaints concerning perpetual care cemeteries or prepaid contracts should be directed to: Texas Department of Banking, 2601 N. Lamar Blvd., Austin, TX 78705; 1-877-276-5554 (toll free); https://www.prepaidfunerals.texas.gov/

Services

If a Death Has Just Occurred

Immediate Need Form

A Year of Grief Support

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