BEHAVIORAL HEALTH SERVICES
DISCLOSURE STATEMENT
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING
5000 Blackmore Road
Casper, WY 82601
307-233-6000
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING offers behavioral health services, including the treatment of mental illness, adjustment problems, and substance abuse/dependency. Services may include individual therapy, group therapy, family/couples' therapy, assessment, case management, and crisis intervention. All appointments need to be scheduled through our administrative assistant, and not through the therapist or doctor. Please kindly give 24-hour advance notice of any cancellation. Payment for services to be paid prior to services rendered (see CHCCW Financial Statement). Community Health Center of Central Wyoming does operate on a sliding fee scale, which is based upon income. Please check with your therapist or doctor if you have any concerns about payment for services.
Carol King, MSW, LCSW
Licensed Clinical Social Worker
WY License LCSW-259
Education:
-B.S., Bachelor of Psychology, University of Wyoming, 1985
- M.S.W., Master of Social Work, Arizona State University, 1989
Ashley Mudder, MSW, LCSW
Licensed Clinical Social Worker
WY License LCSW-957
Education:
- B.S.W., Bachelor of Social Work, University of Wyoming, 2009
- M.S.W., Master of Social Work, Colorado State University 2013
Laura Hunsaker, MSW, LCSW
Licensed Clinical Social Worker
WY License LCSW-534
Education:
- B.S.W., Bachelor of Social Work, University of Wyoming, 1994
- M.S.W., Master of Social Work, University of Utah, 2003
Angela Brown, MS, LPC
Licensed Professional Counselor
WY License LPC-1498
Education:
-B.A., Psychology, University of Wyoming, 2010
-M.S., Counseling, University of Wyoming, 2013
Maliha Owens, MS, LPC
Licensed Professional Counselor
WY License LPC-2258
Education:
-B.A., Bachelor of Psychology, University of Wyoming, 2014
-M.S., Master of Science, Community Mental Health Counseling, University of Wyoming, 2022
Keith Hageman, MS, LPC
Licensed Professional Counselor
WY License LPC-2336
Education:
-B.A., International Studies, University of Wyoming, 1995
-M.S., Master of Science, Clinical Mental Health Counseling, University of Wyoming, 2022
Susanne Ridley, MSW, LCSW
Licensed Clinical Social Worker
Wyoming License LCSW-1644
Education:
-B.S.W., Bachelor of Social Work, University of Wyoming, 2020
-M.S.W., Master of Social Work, University of South Dakota, 2022
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Kenneth Metcalf, MSW, PCSW
Provisionally Licensed Clinical Social Worker
Wyoming License PCSW-1181
Education:
-B.A., Criminal Justice, University of Wyoming, 2017
-M.S.W., Master of Social Worker, University of Wyoming, 2024
Clinical Supervisor: Carol King, LCSW, 5000 Blackmore Road, Casper, WY 82609 (307)237-6000
This disclosure statement is required for all mental health professionals licensed under the state of Wyoming through the Mental Health Professions Licensing Act.
You have the right to confidentiality. As of March 1, 1999, Wyoming has implemented a privileged communication statue (W.S. 33-38-113). This law states that when involved in legal proceedings (civil, criminal, or juvenile) clients retain the right to privacy, unless these specific circumstances exist:
a) abuse or harmful neglect of children, the elderly or disabled or incompetent individuals is known or reasonably suspected;
a) the validity of a will of a former client is contested;
b) information related to counseling is necessary to defend against a malpractice action brought by a client;
c) an immediate threat of physical violence against a readily identifiable victim is disclosed to the counselor or doctor;
d) in the context of civil commitment proceedings, where an immediate threat of self-harm is disclosed to the counselor or doctor;
e) the client alleges mental or emotional damages in civil litigation or his/her mental or emotional state; becomes an issue in any court proceeding concerning child custody or visitation;
f) the patient or client is examined pursuant to a court order, OR
g) in the context of investigations and hearings brought by the client and conducted by the Board, where violations of this act are at issue.
Therapeutic relationships are professional in nature. Sexual intimacies between client and therapist are never appropriate.
Carol King, Ashley Mudder, Laura Hunsaker, Susanne Ridley, and Kenneth Metcalf follow the ethical standards of the National Association of Social Workers. Angela Brown, Maliha Owens, and Keith Hageman follow the ethical standards of the National Counseling Association.
Client Name
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Date Signed
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Patient or Guardian Signature
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Appointment Date and Time
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