Please fill out this form to schedule a time to meet with a member of our Care Team.

If you have an immediate pastoral need, please call 317.848.2722 during business hours and ask to speak with the Pastor on Call

Care Appointment Request Entry

Your Contact Info

First Name

Last Name

Mobile Phone

Are you under 18 years old?

How Are You Connected?

Do you attend Grace Church?

About Your Appointment

How were you referred to us?

What is the main concern you'd like to discuss during your appointment?

Brief description of your need

Appointment Scheduling

Best days of week (check all that apply)

Sunday Monday Tuesday Wednesday Thursday

What time of day is typically best? (check all that apply)

Morning Afternoon Evening

Any comments on your availability?

Submit

Request a Care Appointment

Care Appointment Request Entry

Your Contact Info

How Are You Connected?

About Your Appointment

Appointment Scheduling

Quick Links

About

Support