In this program, we help people with alltheir problems, not just their addictions. This commitment includes helping people with emotional problems. Our staff is ready to help you to deal with any emotional problems you may have, but we can do this only if we are aware of the problems. Any information you provide to us on this form will be kept in strict confidence. It will not be released to any outside person or agency without your permission.If you do not know how to answer these questions, ask the staff member giving you this form for guidance. Please note, each item refers to your entire life history, notjust your current situation. This is why each question begins, "Have you ever ... "
The MHSF-III form will be available online in the next version of this website.