Map and Directions

From Interstate 4
Exit  I-4 at Lee Road and go east approximately one half mile to the Lee World Center (terracotta and beige building) on the right.

From 17-92
Go west on Lee Road approximately one half mile to the Lee World Center (terra cotta and beige building) on the left.

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Forms for new clients to print

Child New Client Forms

Child New Client Information Form

Child New Client History Form

Child New Client Health Care (HIPPA) Form

Child New Client Counseling Agreement

Release of Information Form (pdf)

Release of Information Form (doc)


Adult New Client Forms

Adult New Client Information Form

Adult New Client Health Care (HIPPA) form

Adult New Client Counseling Agreement Form

Release of Information Form (pdf)

Release of Information Form (doc)




Grace Medical Home Informed Consent Form


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