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Release & Consent Forms

Release & Consent Forms

If you are seeking mental health or chemical dependency treatment for yourself, a family member or your patient at Wyoming Behavioral Institute, please download and complete the documents below. Completed documents should be faxed to 307-472-2297.

All requests for medical records should be sent to:

Renee Gray
Health Information Management Director
Wyoming Behavioral Institute
2521 E. 15th St.
Casper, WY 82609
Fax: 307-472-2297
Email: [email protected]

Important Forms To Download

Seek Help Today

For more information or to arrange a confidential assessment at no charge, please call 800-457-9321 or use our contact form. We are available 24 hours a day, seven days a week.

If you are experiencing an emergency, please dial 911 or go to the nearest emergency room.