Initial Intensive Screening

  Please wait...

Step 1: Notice

Our Screening Process


To get the registration process started, we walk you through an initial screening that is both brief and informative.

After you answer a few questions and submit a confidential online form, you can expect to be contacted within 1-2 business days. Once our intake administrator has spent time listening to your particular situation, you will be guided through the final registration steps required for an Intensive Retreat.

We have partnered with many quality organizations to bring you the best resources and help possible. If we feel that we cannot best serve your needs, we may be able to refer you to a partner organization that can provide you with the help you require.

  All information is submitted securely and treated with utmost confidentiality.

Click the Next button to start the screening process.

Counseling Couple

Step 2: Your Information

Your Information


Step 3: Spouse's Information

Spouse's Information


Step 4: Home Address

Home Address


Step 5: General Questions

General Questions


Are you or your spouse involved in full-time ministry?
Do you believe there is an issue of alcohol or substance abuse in the home?
Any domestic violence in the home in the past six months?
Does your issues involve same-sex partnerships?
© 2024 SHM. Version 0.8.0.1 [20240520]