Faith community nurses (FCNs) establish connections with parishioners, colleagues, other faith communities, agencies, universities, and other organizations. Collaboration is one of the core competencies of advanced practice nursing. Nurses and other health care providers who are members of the faith community can also create barriers to collaboration if they do not clearly understand the FCN’s role. FCNs provide counseling, expert guidance, and coaching to parishioners about a broad range of health- and illness-related issues. Health counseling was defined as spiritual and psychosocial support. Prior to consulting with others, a FCN is required by both professional standards and the Health Insurance and Portability and Accountability Act (HIPAA) to have the patient’s permission. The key connection for the FCN is the local or regional health department. Home health care services may be provided by the health department and/or nonprofit visiting nurses associations, and by proprietary home care agencies.