Healing House, Inc.
4505 St. John Avenue
Kansas City, MO 64123
Main Office: (816) 920-7181
Toll Free 24 Hour HOPE Line: (855) 770-HOPE (4673)

Screening Application

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

* 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