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Admissions & Referral Forms

Admissions & Referral Forms

Admissions Information

Step Down
Telehealth intensive outpatient programming can help teens discharging from inpatient and residential treatment continue to recover with group, individual and family counseling, without having to leave home.

Step In
Telehealth intensive outpatient programming can help teens struggling at home or in school who are not yet in need of acute inpatient psychiatric care or residential treatment.

Admissions Forms

Online Forms:

  • Outpatient Referral Packet
  • Outpatient Daily Check In
  • Crisis Safety Plan
  • Priority List

Downloadable Forms:

Seek Help Today

To speak with a member of our outpatient telehealth clinic team, give us a call at 307-439-2139 or you can reach us via email at [email protected].