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A: 1313 North Limestone St
Lexington, KY 40505

P: 859.226.9242

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Total Grace CARES! We want to show the love of Jesus Christ by connecting with those who are sick and shut in.  In an effort to connect with members, we are asking you to submit information to help us reach out and let them know they are not forgotten.

The names on the sick and shut in list will be released to the congregation for prayer UNLESS you select in the “Preference for Confidentiality” area below that you would like only the Pastor and deacons to know.

 

Name of Person Submitting Request *
First Name
Middle
Last Name
Phone Number*
Email Address*
Relationship to Member *
Name of Sick and Shut In Member *
First Name
Middle
Last Name
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Contact Phone Number*
Is the Member In? *
Name of Hospital, Nursing Home, or Facility*
Preference for Confidentiality *
Please List Any Other Information You Feel We Should Know