Forms

Therapy Portal

TBT is now using an online platform, Therapy Notes, to collect all intake information from clients. This online platform allows clients to create an account and complete paperwork in a secure and easy manner. Please contact us to be sent a unique login link to create an account and access your specific intake forms. If you have already created an account with Therapy Notes you can log back in by clicking this link below:

https://www.therapyportal.com/p/tetonbehavior/

If you are having trouble completing these forms online, you can download a hard copy here and email them to us at info@tetonbehaviortherapy.com, or give them to your therapist at your first appointment.

TBT Idaho and Wyoming Intake 2023

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.

Fees

We strive to work with every family to make sure that finances do not stand in the way of getting them the help they are looking for.

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

  • Blue Cross Blue Shield Wyoming
  • Blue Cross of Idaho
  • Wyoming Medicaid 
  • Mountain Health Co-Op
  • Regence Blue Shield of Idaho  
  • UnitedHealthcare 
  • Idaho/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