Insurance information is not required to apply for our program. When prompted, please select ‘Proceed without Insurance’ to access the application. If you have any issues while filling out the application, please contact the office at (816) 920-7181 and we will walk you through the process.
Additionally, please contact us using the number above once you have completed the application. We will then schedule you for an interview with our admissions counselor. We look forward to speaking with you!
If you are using a mobile phone or tablet, you must set the device to desktop view first.
[1] Start Your Application
Please complete the application for services as accurately as possible.
All information disclosed will remain confidential.
Having Trouble?
If you’re using a mobile phone or tablet, be sure to switch to desktop view
before filling out the form. You can also download and
complete the PDF version of the application.
[2] After You Apply
Once you’ve submitted your application, the next step is to schedule an intake interview.
Please call (816) 920-7181 to set up your interview.
What to Expect Next
Before your interview, take a moment to review the Healing House Resident Handbook.
It provides helpful details about the intake process and what to expect as a participant.
