Campbell County Memorial Hospital
Home Contact Us Site Map
Caring Bridge Caring Bridge FaceBook FaceBook twitter
Latest Health News
Bookmark and Share
Services Patients & Visitors About Us Find a Provider Careers News & Events Ways to Give

Addiction Severity Index (ASI) / Alcohol Assessments

The ASI is the most frequently requested (and accepted) alcohol assessment by the courts, Department of Family Services and others.

An adult community member must call to schedule an appointment for an ASI with a clinician. The results will be available almost immediately.

Those needing an ASI, please provide the following*

  1. Service fee of $150
  2. Photo identification
  3. Social Security Card
  4. Proof of income: recent pay stub, most recent tax return or personal / professional letter stating fi nancials if unemployed
  5. Proof of health insurance, if applicable**
  6. Record of blood alcohol content (BAC) at time of DUI
  7. Official state driving record for the last five years (obtain from DMV)
  8. Copies of court papers, if applicable

*For ASI evaluations that are not required by the Courts, Department of Family Services or Probation, only provide the documents listed in 1-3.

Subscribe to our Newsletter

Website Survey

In 2016, Campbell County Health (CCH) is redesigning its website, www.cchwyo.org, to help the organization provide the best quality care to our patients and residents. To begin this effort, we are asking the public to answer a six-question survey on what items they would like to have on our website. The survey should take no more than five minutes to complete and will closed at noon on Friday, January 29.