Working with Foothills

Finding specialized care in our rural communities can be a difficult task. That is where Foothills Behavioral Health can help! Our caring and compassionate team has highly specialized, advanced training that is usually found in larger cities. We believe that this advanced care should be available to everyone. We look forward to serving your practice. 

 Expertise

We use several evidenced based and adjunct models to meet our clients needs. These modalities include, Cognitive Behavioral Therapy, Trauma Focused-Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing, Family Systems Therapy, and Ego State Therapy.

​Referrals

We are happy to accept your referrals and help you in any way we can. Below you will find our referral form. 

Referral Form
Referring Individual or Agency E-mail Phone Number Client Name Date of Birth Address City Guardian Name Guardian/ Client Phone Guardian/ Client email
Does the client have Medicaid?
Yes
No
Does the client have private insurance?
Yes
No
Insurance Provider Other Insurance Insurance Policy #
Client Self Pay?
Yes
No
Current Symptoms
Excessive worry/Anxiety
Feelings of emptiness or worthlessness
Withdrawn
Aggressive/fighting
Difficulty adjusting to a major life event
Neglect or abuse history
Excessive sadness/depression
Easily angered, annoyed or nervous
Defiance
Drug use
Difficulty with interpersonal relationships, including relationships with teachers and peers
Past trauma
Recent trauma
Physical symptoms- headache, stomachache
History of self-harm- cutting, etc.
Suicidal thoughts or statements
Insomnia
Criminal behaviors
Other behavioral/emotional symptoms
Availability for Sessions
Monday
Tuesday
Wednesday
Thursday
Friday
Time- select all that apply
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6:00pm
Method of Delivery
In person
Virtual
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