Fill Out Your Personal History Form Online
You are welcome to complete this information online and submit it securely. You may also download and print the form (BCM-PDI-Revised-2016) and mail it to P.O. Box 893, Vista, CA 92085. If there is any information you are not comfortable completing, please leave it blank or answer ‘will discuss’ and your counselor will discuss it personally with you if it becomes relevant to helping you.