24-Hour Crisis 988
& Suicide Prevention Hotline

Medicaid Enrollee Resources

Advance Directives

English Forms

Spanish Forms

If you are unable to access and print the forms electronically, you can request paper copies—free of charge. Request forms by calling one of our outpatient facilities and speaking to a friendly member of our support staff. Cache and Rich County facilities can be reached at (435) 752-0750; Brigham City (435) 734-9449; and the Tremonton area at (435) 257-2168. Please allow five business days for delivery.

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****Facilities and restrooms are accessible to individuals with developmental and physical disabilities. BRMH’s offices and facilities have accommodations for people with disabilities, including offices, exam rooms and equipment. Accommodations include, but are not limited to, bariatric chairs, brail door plates, ADA entrances/restrooms, and rooms with dimming light. Special accommodations may be provided prior to or during treatment upon request by contacting (435) 752-0750.****

Bear River Mental Health Services, Inc. is a National Health Service Corps approved site.

No one will be denied access to services, due to inability to pay, age, race, color, national origin, language, cultural background, marital status, developmental disability, language, sexual orientation, gender identity, or religion.

A discounted fee is available for essential services based on family size and income.

Hay tarifas con descuento disponibles para servicios esenciales según el tamaño y los ingresos de la familia.

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