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Consent for Remote Group Sessions Please complete the electronic form 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. If you need assistance in filling out our intake paperwork call 406-541-0024 To complete the form by hand: Please call 406-541-0024 to request a paper form be mailed to you. You may also download this form , scan and return by Email: referrals@wmmhc.org or Mail to: Western Montana Mental Health Center 1321 Wyoming St, Missoula, MT 59801 Please wait while we load your form

Working for the largest community-based mental health provider in Montana has its advantages. Search opportunities at WMMHC. Join Our Team! If you want to join a team where community is at the heart of what we do, then you’ve come to the right place. Working for the largest community-based mental health provider in Montana has its advantages. You have room to grow, challenge yourself and find opportunities for a long-term career at Western Montana Mental Health Center. SEARCH OPENINGS Why WMMHC Be a part of Western Montana's largest non-profit community mental health center. Work with a team to serve and provide high quality care to over 15,000 children, teens, and adults annually. Stay Healthy Medical, Dental, and Vision coverage for you and your dependents Health Savings Account with employer contributions or Flex Medical Benefits Feel Secure Employer Paid Life/AD&D Insurance 403(b) Retirement Plan Generous paid time off package that starts right away! Flex Dependent Care to assist with daycare expenses Student Loan Forgiveness Program Grow & Develop Annual stipend towards licensure and licensure renewal Extensive training opportunities to enhance your professional development For those seeking licensure as a LCPC, LCSW or LAC, we can provide opportunities for supervision from our own staff to help you attain this step in your career. Living in Western Montana Live in the most beautiful, scenic places on earth! " For other states I have admiration, respect, recognition, even some affection. But with Montana it is love. " - John Steinbeck Fly fisherman’s paradise, with hundreds of miles of rivers and streams designated as blue-ribbon trout waters Four beautiful seasons with endless outdoor recreation. Enjoy fishing, floating the river, hiking, camping, biking, golfing, wildlife viewing, and hunting. In the winter months enjoy easy access to over 11 ski resorts including Big Sky Resort, Discovery Ski Area, Whitefish Mountain, Bridger Bowl and Lookout Pass. Higher Education Opportunities from the flagship University of Montana in Missoula, or the state's largest research institute, Montana State University in Bozeman, or a private liberal arts education at Carroll College in Helena. Driving distance to three major airports; Missoula International, Glacier Park International, and Bozeman Yellowstone International Airport. We Want You! Bring your talent and passion to Western Montana Mental Health Center. We are seeking bright and compassionate individuals to join our team. For more information, please contact our Human Resources Department at 406-532-8404 or hr@wmmhc.org SEARCH OPENINGS

Access WMMHC forms and policies; New Client Application, Release of Information, Records Request, Client Rights, & HIPPA Statements Our Forms & Policies Financial Forms Contract for Payment of Services > Sliding Fee Program > Records Request & Release of Information Request To Access Records > Release of Information-SUD > Release of Information-Mental Health > Release of Information- Children Services > Client Care & Consents CCBHC Consent Adult > Client Acknowledgement > Consent for Remote Group Sessions > Consent for Treatment > People Who Support Me > Scheduled Medication Form > Telehealth Privacy and Security Tips for Clients > Treatment Plan Signatures-Children Services > Treatment Plan Signatures-Adult > Policies Client Rights > Notice of Privacy Practice > General Aggressive Behavior Policy > Grievance Procedure > HIPPA Statement > Smoking & Weapons > Hope Meaningful Life Choices Better Outcomes Finding help may seem difficult, and we're here for you. High-quality, caring, compassionate, and confidential care is available to you. New Client Application | Client Acknowledgement | Records Request | Release of Information- Substance Abuse Disorder | Release of Information- Mental Health | HIPPA Statements | Client Rights | Grievance Procedure | Consent for Treatment | Smoking & Weapons Policy

TBD Director, SUD and Crisis Programs

Amberlee Jorgenson, LCPC Director, PACT/MACT, PATH, Residential Group Home mailto:kauclair@wmmhc.org

Release of Information-Mental Health Please complete the electronic form 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. If you need assistance in filling out our intake paperwork call 406-541-0024 To complete the form by hand: Please call 406-541-0024 to request a paper form be mailed to you. You may also download this form , scan and return by Email: referrals@wmmhc.org or Mail to: Western Montana Mental Health Center 1321 Wyoming St, Missoula, MT 59801 Please wait while we load your form

WMMHC prevention services promote wellness through interventions that educate and support communities. Our prevention specialists work in a variety of capacities with members from many different groups in their communities. Together, we work to make our community drug-free and healthy. Prevention Services WMMHC prevention services promote wellness through interventions that educate and support communities. Our prevention specialists work in various capacities with members from many different groups in their communities. Together, we work to make our community drug-free and healthy. REQUEST A PRESENTATION Reach out to our Prevention Specialists and schedule a presentation for your school or group. Call 406-541-0024 PARENT RESOURCES Information for Montana parents to address a variety of challenges and support your child's success. Learn More > GET THE TOOLS Download one of our toolkits for information on identifying the signs of substance use, what you can do today and access to local resources. Learn More > Making A Difference WMMHC Prevention Services was developed to teach Montana's youth skills for resisting social influences, impacting drug-related attitudes and norms, and promoting personal management skills. Together, we are making a difference in the lives of youth throughout Montana. 􏰛􏰎􏰑􏰍􏰍􏰛 According to the Statewide 2020 Montana Prevention Needs Assessment 71.2% of Montana students have NOT had an alcoholic beverage to drink in the past 30 days 82.5% of Montana students have NOT had 5 or more drinks of alcohol in a row in the past 30 days 85.8% of Montana students have NOT used cannabis (marijuana) in the last 30 days 1 98.8% of Montana students have NOT used methamphetamines in the last 30 days 96.2% of Montana youth have NOT taken prescription medication without a doctor telling them to in the past 30 days Prevention Programs WMMHC offers many effective substance use prevention programs that can be implemented in various settings. Prevention programs can involve an individual or group in a family, school, law enforcement, or community setting. WMMHC substance use prevention programs focus both on environmental and community factors. Binge Drinking What is Binge Drinking? Binge drinking is defined as four or more drinks for females and five or more drinks for males within a short period of time. Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of binge drinking, and help teens and young adults make better choices. For more information, download the toolkit. Cannabis (Marijuana) What is Marijuana? Marijuana refers to the dried leaves, flowers, stems, and seeds of the Cannabis sativa or indica plant that includes THC, a mind-altering compound. Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of marijuana, and help teens and young adults make better choices. For more information, download the toolkit. Meth What is Meth? Meth or Methamphetamines are a white, odorless, bitter-tasting, crystalline powder that can be made from ingredients used in batteries, drain cleaner, fertilizer, nail polish remover, and paint thinner. Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of meth, and help teens and young adults make better choices. For more information, download the toolkit. Narcan Training Learn how to save life! Where To Get Narcan Naloxone is a FDA approved medication that can reverse an opioid overdose and save a life. In Montana, you can get Naloxone (Narcan®) for FREE from select community organizations. Formore info go to: https://dphhs.mt.gov/AMDD/naloxone/wheretogetNaloxone It is important to know an opioid overdose is a medical emergency and you should call 911 immediately. Naloxone can be successfully administered by friends, family members, or bystanders. Basic information and instructions are available from theDPHS, as is a formal training through Best Practice Medicine . Montana’s Good Samaritan Law provides legal protection to those who administer Naloxone to potential opioid overdose victims even if they are using too. Opioids What are Opioids? Opioids are a group of drugs that include synthetic opioids like fentanyl, illegal drugs like heroin, and legal prescription pain relievers such as oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, and morphine. Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of opioids, and help teens and young adults make better choices. For more information, download the toolkit. Perscription Drugs Don't Flush Them and Don't Keep Them! WMMHC Prevention Services Team can teach you about the dangers of leaving unwanted, unused, or expired perscription drugs in the home and how to safely dispose of them or waste them at local take back boxes. Click here to find a Rx dropbox location in Montana Did you know? Two-thirds of teens that report misuse of prescription medication get them from their own home medicine cabinet or from family and friends. (see SAMSHA) Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of opioids and other prescription drugs, and help teens and young adults make better choices. For more information, download the toolkit. Vaping What is Vaping? Vaping is a term used when inhaling vapor made by an electronic cigarette or similar device. The most common substances vaped are marijuana and nicotine with a flavored liquid. Start the Conversation WMMHC Prevention Specialists can help you start the conversation, communicate the impact and consequences of vaping and help teens and young adults make better choices. For more information, download the toolkit. Parent Workshops It can be hard to know where to start when talking to your child about drugs and alcohol. WMMHC provides parents with the tools and resources to discuss accurate, age-appropriate information concerning drugs and alcohol to their kids. For more information, contact a Prevention Specialists

Western Montana Mental Health Center offers a comprehensive range of services to teens, and children living with mental health conditions. Children & Adolescents Western Montana Mental Health Center (WMMHC) offers comprehensive services to children and adolescents living with substance abuse or mental health conditions in Montana. WMMHC offers school-based programs, prevention services, and comprehensive school and community treatment programs in multiple public school districts. Connect wiht Us Today at 406-532-8400 All information submitted is 100% confidential. WMMHC Prevention Services was developed to teach Montana's youth skills for resisting social influences, impacting drug-related attitudes and norms, and promoting personal management skills. Together, we are making a difference in the lives of youth throughout Montana. Learn More Get the help you deserve. Request a free confidential callback within 1 business day. Get Help Now If you are having a medical emergency call 911. If you are having thoughts of suicide, please call 988. Child & Adolescent Substance Use Treatment Services Outpatient Programs The following services are offered on an outpatient basis to youth/adolescents and families. Please contact your local Western Montana Mental Health Center office for more information on any of these services. Substance Use Disorder Assessments Outpatient and Intensive Outpatient therapy including group and individual sessions Relapse Prevention Substance Use Disorder Day Treatment Community Prevention Services Clinic sites providing substance use prevention services tailor services to fit the needs of the community served. Activities may include mentoring, leadership development, support of after-school programs, provision of substance related information, and community education services. Community prevention programs and projects are aimed at reducing the far-reaching negative consequences alcohol and other drug abuse has on the community and the quality of life of an individual and the family. Child & Adolescent Mental Heatlh Treatment Services Financial Forms Contract for Payment of Services > Sliding Fee Program > Records Request & Release of Information Request To Access Records > Release of Information-SUD > Release of Information-Mental Health > Release of Information- Children Services > Client Care & Consents CCBHC Consent Adult > Client Acknowledgement > Consent for Remote Group Sessions > Consent for Treatment > People Who Support Me > Scheduled Medication Form > Telehealth Privacy and Security Tips for Clients > Treatment Plan Signatures-Children Services > Treatment Plan Signatures-Adult > Policies Client Rights > Notice of Privacy Practice > General Aggressive Behavior Policy > Grievance Procedure > HIPPA Statement > Smoking & Weapons > Comprehensive School and Community Treatment Comprehensive School and Community Treatment (CSCT) collaborates with public school districts to provide a school and community-based mental health program offering behavioral intervention, group, individual and family therapy to children with a qualifying mental health diagnosis. CSCT clients receive an intensive level of care which includes a comprehensive treatment plan designed to meet their mental health needs and support improved functioning within the school, family and community. Home Support Services An intensive in-home, family-focused program for children and adolescents who experience serious social, emotional and behavioral challenges. The overall goal of this program is to help parents and children learn skills to effectively manage and reduce challenging behaviors so that the child can function more effectively in the home, school and community. A Family Support Specialist consults with parents, children, and other professionals to create a customized treatment plan to fit the needs of the family, helping them learn important skills and concepts at their own pace and in their own home. Individual and Family Counseling Licensed professional counselors/social workers provide psychotherapy for children, adolescents and their families. Counseling is provided within a family systems context with specialized treatment for seriously emotionally disturbed children and adolescents. Outpatient psychotherapy may include individual and/or group therapy operating within the continuum of care offered by Western Montana Mental Health Center and following best practice models for short term, solution focused psychotherapy based upon clear and identifiable clinical needs. Psychiatric/Medication Services Managing emotional and behavioral challenges is a team effort and appropriate use of medication may be an important component. Our psychiatric staff, who are made up of both (Advanced Practice Registered Nurses (APRN’s) and psychiatrists, are able to assess, prescribe, and monitor clients who may need medication, and they provide education to both the client and their family members. These staff members also collaborate with the treatment team to provide ongoing assessment and monitoring of moods and behaviors related to medication needs Get the help you deserve. Insurance & Payment What to Expect Get Help Now All information submitted is 100% confidential. Comprehensive School and Community Treatment | Home Support Services | Individual and Family Counseling | Psychiatric/ Medication Services Outpatient Programs | Community Prevention Services

Incident Notice Western Montana Mental Health Center Provides Notice of Data Security Incident MONTANA – July 17, 2025 – Western Montana Mental Health Center (“WMMHC”) is providing notice of a recent data security incident that may have involved personal and/or protected health information. WMMHC takes the privacy and security of all information within its possession very seriously. WMMHC has sent notice of this incident to potentially affected individuals and provided resources to assist them. On September 15, 2024, WMMHC discovered that it was experiencing a network disruption and immediately initiated an investigation of the matter with the assistance of independent cybersecurity experts. As a result of the investigation, it determined that certain files were accessed without authorization. WMMHC then engaged a third- party data review team to conduct a comprehensive review of those files, and, on or about May 27, 2025, learned that personal and protected health information belonging to WMMHC was contained within the potentially affected data. Based on WMMHC’s review of the potentially affected data, the following information may have been involved in the incident: Social Security numbers, driver’s license numbers, dates of birth, state or federal identification numbers, medical information, financial account information, and/or health insurance information. Of note, not all information was involved for all individuals, and WMMHC has no evidence of the misuse, or attempted misuse, of any potentially affected data. As soon as WMMHC discovered this incident, it took the steps described above and implemented measures to further enhance the security of its network environment and minimize the risk of a similar incident occurring in the future. WMMHC also notified the Federal Bureau of Investigation and will cooperate with any resulting investigation. WMMHC has established a toll-free call center to answer questions about the incident and address related concerns. Call center representatives are available Monday through Friday from 9:00 am to 9:00 pm Eastern Time, excluding holidays, and can be reached at 1-855-202-1403. The privacy and protection of personal and protected health information is a top priority for WMMHC. WMMHC deeply regrets any inconvenience or concern this incident may cause. WMMHC is providing the following information to help those wanting to know more about steps they can take to protect themselves and their information: What steps can I take to protect my personal information? Review Your Account Statements and Notify Law Enforcement of Suspicious Activity: As a precautionary measure, we recommend that you remain vigilant by reviewing your account statements and credit reports closely. If you detect any suspicious activity on an account, you should promptly notify the financial institution or company with which the account is maintained. You also should promptly report any fraudulent activity or any suspected incidence of identity theft to proper law enforcement authorities, your state attorney general, and/or the Federal Trade Commission (FTC). Copy of Credit Report: You may obtain a free copy of your credit report from each of the three major credit reporting agencies once every 12 months by visiting http://www.annualcreditreport.com /, calling toll-free 1-877-322-8228 , or by completing an Annual Credit Report Request Form and mailing it to Annual Credit Report Request Service, P.O. Box 105281, Atlanta, GA 30348. You also can contact one of the following three national credit reporting agencies: Equifax, P.O. Box 105851, Atlanta, GA 30348, 1-800-525-6285 , www.equifax.com . Experian, P.O. Box 9532, Allen, TX 75013, 1-888-397-3742 , www.experian.com . TransUnion, P.O. Box 2000, Chester, PA 19016, 1-800-916-8800 , www.transunion.com . Fraud Alert: You may want to consider placing a fraud alert on your credit report. An initial fraud alert is free and will stay on your credit file for at least one year. The alert informs creditors of possible fraudulent activity within your report and requests that the creditor contact you prior to establishing any accounts in your name. To place a fraud alert on your credit report, contact any of the three credit reporting agencies identified above. Additional information is available at http://www.annualcreditreport.com. Security Freeze: You have the right to put a security freeze on your credit file at no cost. This will prevent new credit from being opened in your name without the use of a PIN number that is issued to you when you initiate the freeze. A security freeze is designed to prevent potential creditors from accessing your credit report without your consent. As a result, using a security freeze may interfere with or delay your ability to obtain credit. You must separately place a security freeze on your credit file with each credit reporting agency. In order to place a security freeze, you may be required to provide the consumer reporting agency with information that identifies you including your full name, Social Security number, date of birth, current and previous addresses, a copy of your state-issued identification card, and a recent utility bill, bank statement or insurance statement. Additional Free Resources: You can obtain information from the consumer reporting agencies, the FTC, or from your respective state Attorney General about fraud alerts, security freezes, and steps you can take toward preventing identity theft. You may report suspected identity theft to local law enforcement, including to the FTC or to the Attorney General in your state. You also have certain rights under the Fair Credit Reporting Act (FCRA): These rights include to know what is in your file; to dispute incomplete or inaccurate information; to have consumer reporting agencies correct or delete inaccurate, incomplete, or unverifiable information; as well as other rights. For more information about the FCRA, and your rights pursuant to the FCRA, please visit https://www.consumer.ftc.gov/articles/pdf-0096-fair-credit-reportingact.pdf .

Western Montana Mental Health Center offers a comprehensive range of services and housing options to adults, teens, and children living with mental health conditions. Adults Living with a Mental Health Condition in Montana Western Montana Mental Health Center is an integrated community-based mental health center offering a comprehensive range of services to adults living with mental health conditions in Montana. Connect wiht Us Today at 406-532-8400 Mental Health Conditions Can Be Managed Common mental health conditions include: Anxiety spectrum disorders. These include generalized anxiety disorder (GAD), phobias, panic disorder, social anxiety disorder, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD) Attention Deficit Hyperactivity Disorder (ADHD) Bipolar Disorder Borderline Personality Disorder Depression Schizophrenia Western Montana Mental Health Center's personalized therapeutic treatment programs include an in-depth assessment, inpatient crisis stabilization, individual therapy, group therapy, residential housing, jail diversion, psychiatric/medication management, school-based programs and peer support services. Our programs are designed to help manage mental health conditions and overcome the lack of direction that may accompany it. Get the help you deserve. Request a free confidential callback within 1 business day. Get Help Now If you are having a medical emergency call 911. If you are having thoughts of suicide, please call 988. Adult Treatment Services Adult Day Treatment The Day Treatment program provides education and support to clients who have been referred by a member of their treatment team. Day treatment gives people access to a variety of group and individual activities in a positive environment that encourages healthy social skills. Our goal is to provide education and support that will help people manage their mental health symptoms and gain skills and knowledge to achieve or maintain independent living. Adult Group Homes Adult group homes combine housing and services in a structured and supportive setting. Our group homes provide 24-hour support to our residents. Western Montana Mental Health Center staff are available to assist residents in building independent living skills and help them reach recovery to live successfully in the community or in Western client housing. Clinical staff is available to assist residents with reaching their recovery goals and working with other members of the treatment team to ensure success. Clients are referred to group home services by members of the treatment team or other agencies. Crisis Stabilization Facility Crisis Stabilization facilities provide short term, intensive, inpatient support for adults experiencing a life-threatening crisis. Most clients stay at the crisis facility for 3 to 7 days. During their stay clients work with their treatment team and crisis facility staff to resolve the crisis and to develop a plan for the client’s care after leaving the crisis facility. Client Housing Western Montana Mental Health Center offers a variety of housing options with Western-owned apartments and/or homes and acts as landlord to provide independent living arrangements. Residents may be supported by a case manager and community-based rehabilitation services to assist them with day-to-day living skills. Client housing helps integrate clients into the community while maintaining supportive services that meet residents’ needs as they become more independent. Jail Diversion Jail Diversion Programs provide support and treatment for individuals experiencing mental illness during pre-arrest, incarceration, and after release from county detention centers. The Jail Diversion team works collaboratively with detention center officers, local law enforcement, and other components of the criminal justice system to provide services within the county detention center and to assist in diversion from incarceration. Services provided while incarcerated can include mental health assessments, case management, therapy, peer-support services, group therapies, crisis intervention, and chemical dependency evaluations. These services reduce recidivism by connecting individuals to behavioral health services. Outpatient Therapy Outpatient therapy is offered across the life span and may include individual and/or group therapy designed to help clients address symptoms that interfere with functioning in one or more life domains such as familial, social, educational or occupational. Western Montana Mental Health Center believes that the client’s voice is central to the success of its outpatient therapy programs. The Partners for Change Outcomes Management System is an evidence-based tool that helps us work with clients to set goals, ensure an effective therapeutic relationship, and to achieve the outcomes identified by the client. Program of Assertive Community Treatment (PACT) Program of Assertive Community Treatment (PACT) is designed to help people with serious mental health conditions live independently in the community by providing comprehensive mental health and supportive services. Clients in PACT receive a combination of services depending on each client’s individual needs. These services include medication management, nursing support, case management, therapy, substance abuse treatment, employment and housing services, crisis intervention, and peer support. This program is for clients who need more help than is available through regular outpatient services and is offered 24 hours a day, 365 days a year. Psychiatric/Medication Management Services Managing mental illness is a team effort and appropriate use of medication is an important component. Our providers, who are made up of Advanced Practice Registered Nurses (APRNs), Physicians Assistants, and psychiatrists, with the help of their trained nursing staff, are able to assess, prescribe, and monitor clients who need medication to treat their illness while providing education to both the client and their loved ones. Vocational Services Vocational services provide adults living with severe mental illness support to attain their employment goals. Utilizing evidence-based practices, supports are based on choice and focused on assisting individuals in finding and keeping jobs that capitalize on their personal strengths and motivation. Vocational services are recovery-driven, emphasizing skill development through a multidisciplinary team approach. Job-hunting, on-the-job, and post-employment assistance is offered from resume and cover letter writing, interview preparation, workplace conflict resolution, accommodation planning, work-related symptom management, and benefits management. How do you know if you or someone you care about has a mental health condition? Contact us to for a free confidential assessment. Our team will contact you within 1 business day to discuss the issues you or your loved one are experiencing and how Western Montana Mental Health Center can help. Get Help Now Mental Health Facts 1 in 5 1 Americans live with a serious mental health condition or long-term recurring major depression 1 in 25 2 Americans experience some form of mental illness in any given year Recovery is not only possible, it is essential. Get the help you deserve. Insurance & Payment What to Expect Get Help Now All information submitted is 100% confidential. 1. Any Mental Illness (AMI) Among Adults. (n.d.). Retrieved May 1, 2019, from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml#part_15478 2. Serious Mental Illness (SMI) Among Adults. (n.d.). Retrieved May 1, 2019, from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml#part_154788 Adult Day Treatment | Adult Group Homes | Crisis Stabilization Facility | Client Housing | Drop-In Center | Emergency Services | Jail Diversion | Outpatient Therapy | Peer Support Program Of Assertive Community Treatment (PACT) | Psychiatric/Medication Management Services | Vocational Services

Western Montana Mental Health Release of Information Children Services Release of Information-Children Services Please complete the electronic form 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. If you need assistance in filling out our intake paperwork call 406-541-0024 To complete the form by hand: Please call 406-541-0024 to request a paper form be mailed to you. You may also download this form , scan and return by Email: referrals@wmmhc.org or Mail to: Western Montana Mental Health Center 1321 Wyoming St, Missoula, MT 59801 Please wait while we load your form

Western Montana Mental Health Center Adult Treatment Plan Signautre Page Adult Treatment Plan Signature Please complete the electronic form 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. If you need assistance in filling out our intake paperwork call 406-541-0024 To complete the form by hand: Please call 406-541-0024 to request a paper form be mailed to you. You may also download this form , scan and return by Email: referrals@wmmhc.org or Mail to: Western Montana Mental Health Center 1321 Wyoming St, Missoula, MT 59801 Please wait while we load your form