Montana Health Workforce Services maintains a database of healthcare providers active in Wyoming, Idaho and Montana. This database is known as the WIM Datahub and is utilized by state agencies, non-profits, healthcare facilities, grant writers and workforce researchers. The database is expanding to incorporate the following behavioral health providers:

● Licensed Addiction Counselors  ● Licensed Clinical Professional Counselors  ● Licensed Clinical Social Workers  ● Psychologists

This new data set will be actively maintained and used to:
● Create and maintain The Bright App (thebrightapp.org), to streamline patient referrals, provider recruitment and connect Montanans to services
● Recognize workforce stability and practice environment patterns
● Locate behavioral health resources for patients with special needs and form localized care teams

Please join us in our excitement to develop this new resource by completing the following questionnaire. Submit online: wimtracking.org/bhprovider

How many hours per week do you see patients in this practice setting?   _________   (used to identify total local care available)

Do you see patients at a location(s) aside from the one listed above?      [      ] Y   [      ] N
If so, please list these location(s)?       Name:____________________       City: ___________________      Setting*: _______________________
Name:____________________        City: ___________________      Setting: ________________________
(*setting examples: Private Practice, Court Program, Mental Health Center, Inpatient Treatment etc)
Circle Your Specialties:  

Return completed form to: WIM Tracking PO Box 302 Townsend, MT 59644 or info@wimtracking.org or Fax (406) 215-1417. Direct questions to Jena Smith (406) 640-1230 or jena@wimtracking.org.