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
If you need assistance selecting an inpatient program, admissions staff are available 24 hours a day at 800-457-9312.
If you are experiencing a mental health emergency, call 988.
Healing Begins Here
We are here to help you take the next step in continuing your recovery.