Client Acknowledgment

Please complete the Client Acknowledgment Form below. All information submitted on our website is private and confidential. Your treatment experience is strictly private and confidential, protected by federal and state law. 

 

The form is also available for download.

Email to: access@wmmhc.org

 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