Screening Application

Screening Application

Attention: In light of the current situation regarding Covid-19, we are not be holding face to face interviews. We will be conducting interviews over the phone and online.  Interviews are conducted on Tuesdays and Thursdays. 

Please, complete this application for residency as completely and accurately as possible. All information disclosed will remain confidential.

After submitting your application, the next step is to schedule an interview.  If you are applying for the residential program  please call 816-920-7181  to set up your interview. If you are applying for just outpatient call either 816-920-7181 and for Andrew or call him directly at 816-768-8350.

Any questions concerning this process, please call the Main Office at 816-920-7181. (see the Healing House Resident Rules)

 

If you are using a mobile phone to apply, you must set the device to desktop view first. 

* Indicates required field

  • Please be honest. A background check may be run and, if you have been dishonest in any way, this application will be disregarded.
 

Verification