This is a resource review established for patients of Good Graces Pharmacy and Here 2 Care Clinics.  All answers in this review are contained confidentially with those responsible for aiding you in connecting to the available resources that apply to you.  Please be completely honest and complete in your answers, as this helps provide us the best review for you and provides us the insight necessary to establish a true care plan that fits your needs.  

BE ADVISED: Some of these questions will be very sensitive questions and feel very personal, but this helps us to find the very best options for your care: mental, physical, and spiritual (as applicable to each scenario).  We are not trying to gather any information to disclose to anyone else, nor do we ask these questions to pass any judgement.  However, if there is any form of abuse or neglect, we are mandatory reporters and as such are required by state law to report any concern we may have of such.

If you complete this form and within 1 calendar week have not heard from a staff member from Good Graces Pharmacy or Here 2 Care Clinics, please contact the pharmacy at 417-855-1085 or stop by the store at 857 E. Main Street, Suite 3, Willow Springs, MO 65793.  We look forward to helping you with your every need.