Forms

Therapy

Before your first session with TBT, you will be asked to complete an intake form. Please feel free to download and complete the intake forms prior to your visit.

HIPPA Privacy Notice

Client rights and responsibilities are important to us at Teton Behavior Therapy. Please find a link to our HIPAA and PHI privacy agreement below. Copies of these forms are found in your initial intake packet, signed and dated by clients and clinicians.

Camp

All TBT campers must have a complete intake with demographics and payment information on file prior to the first day of camp. If your child is not a TBT client already, please complete the intake attached to the link below.

Fees

We work with every family to make sure that finances do not stand in the way of getting them the help they are looking for. We work with many insurance providers and are able to set up individual payments for clients on a sliding scale basis.

Teton Behavior Therapy is an in-network provider for the following:  

  • Blue Cross Blue Shield Wyoming
  • Blue Cross of Idaho
  • Idaho Medicaid 
  • Wyoming Medicaid 
  • Mountain Health Co-Op
  • Regence Blue Shield of Idaho  
  • UnitedHealthcare 
  • Wyoming Medicare Part B (J3-Noridain) 

We accept payments from: 

  • ID Juvenile Probation
  • ID Children’s Mental Health
  • Wyoming Department of Family Services
  • Crime Victims Compensation