This Life History provides a comprehensive picture of your background. Completing these questions as fully and accurately as possible will help facilitate your counseling program and improve your experience at His High Places. Please allow plenty of time to fully answer these questions as honestly as possible and embrace the process. One former client shared, "My healing began while filling out the Life History."
IMPORTANT: If a particular question does not apply to you, simply write "N/A".
PLEASE COMPLETE THIS FORM by the Monday before your scheduled visit.
CONFIDENTIALITY: You may be concerned about what happens to this information because of its sensitive and personal nature. Your case record is strictly confidential. No outside entity, including relatives or medical providers, are permitted access to your case record without your written permission.