Children Services Packet

 

Please complete the electronic packet below.

 All fields marked (*) are required fields.  All information submitted on our website is private and confidential. Your treatment experience is strictly private and confidential, protected by federal and state law. 

To complete the application by hand:

Please call 406-532-8400 to request a paper application be mailed to you.

You may also download this application, scan and return by

Email: access@wmmhc.org

or Mail to: Western Montana Mental Health Center

1321 Wyoming St, Missoula, MT  59801 

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Western Montana Mental Health Center 
1321 Wyoming St, Missoula, MT  59801
Phone: (406) 532-8400  

Fax: (406) 356-5213 

Email: administration@wmmhc.org

All information submitted on our website is private and confidential.  Your treatment experience is strictly private and confidential, protected by federal and state law.

Services will not be denied due to race, color, gender, national origin, age, sexual orientation, disability, religion, housing status, or inability to pay.

© 2020 By Western Montana Mental Health Center