Now Accepting New Clients · Teletherapy · Montana

Tim Dallacqua

MSW, LCSW  ·  Licensed Clinical Social Worker

Compassionate, affirming therapy for individuals navigating complex life challenges — with over 50 years of clinical experience.

LGBTQ+ Affirming Transgender Support Teletherapy Hard-to-Treat Clients
Tim Dallacqua, MSW, LCSW
Tim Dallacqua

Tim Dallacqua, MSW, LCSW  ·  He/Him

50 Years of Clinical Experience

I am Tim Dallacqua, a Licensed Clinical Social Worker (MSW, LCSW) with more than 50 years of experience in mental health treatment. My career has taken me across some of the most demanding clinical settings in the field — from hospital emergency rooms and inpatient psychiatric units to hospice care, adult probation and parole, and specialized eating disorder programs.

Throughout my career, I have had the privilege of working with individuals who are often underserved or misunderstood by the broader healthcare system. I bring particular expertise in supporting members of the LGBTQ+ community and transgender individuals, providing affirming, evidence-based care that honors each person's identity and lived experience.

My practice is built on the belief that every person deserves care that is tailored to their unique needs — not a one-size-fits-all approach. Whether you are navigating gender identity, working through complex trauma, managing a hard-to-treat condition, or simply seeking a therapist who will truly listen, I am here.

I currently provide teletherapy services to clients throughout Montana. Sessions are conducted via secure, HIPAA-compliant video platform, and I am always willing to accommodate whatever format best serves your clinical needs.

50+ Years Experience
MSW Master of Social Work
LCSW Licensed in Montana

Specialized Care for Complex Needs

I work with adults across a wide range of clinical presentations. My practice emphasizes affirming, culturally competent care — particularly for individuals whose needs have not been well-served by traditional approaches.

🏳️‍⚧️

Transgender & Gender Identity

Affirming support throughout all stages of gender exploration and transition — from initial questioning through social, legal, and medical transition. WPATH-informed care and referral letters available.

🏳️‍🌈

LGBTQ+ Affirming Therapy

A safe, affirming space for gay, lesbian, bisexual, queer, and questioning individuals. Addressing internalized stigma, relationship issues, family dynamics, and identity development.

🧠

Complex & Hard-to-Treat

Extensive experience with clients who have not responded to standard treatment approaches, including complex trauma, personality disorders, and co-occurring conditions.

🕊️

Grief, Loss & End of Life

Compassionate support for individuals and families navigating terminal illness, grief, and bereavement. Informed by years of hospice social work experience.

⚖️

Justice-Involved Individuals

Non-judgmental care for individuals involved in the criminal justice system, including those on probation or parole. Experienced in navigating the intersection of mental health and legal systems.

🌿

Eating Disorders

Clinical experience in both inpatient and outpatient eating disorder treatment. Collaborative, compassionate care that addresses the psychological roots of disordered eating.

Insurance Accepted

I accept a number of insurance plans. Please contact my office to confirm whether your specific plan is accepted and to verify your benefits before scheduling your first appointment.

Insurance panels currently accepted — full list coming soon. Please call (406) 564-1848 or email TimDallacqua.LCSW@protonmail.com to confirm your coverage.

Teletherapy — Care From Wherever You Are

I provide all services via secure, HIPAA-compliant video platform. Teletherapy removes the barriers of distance, transportation, and scheduling — making quality mental health care accessible throughout Montana.

Getting Started

Please complete the new client packet before your first appointment. All forms can be filled out and submitted directly from this page — your responses will be sent to my office email. You may also download the PDF version if you prefer to print and return by email.

New Client Intake Form

Teletherapy Safety Information

Because we meet online, I need to know where you will be located during our sessions in case of an emergency. This information is kept confidential.

ⓘ You will be asked to confirm your physical location at the start of every session.

If our connection is lost, I will call or text this number within 5 minutes. If I cannot reach you, I will attempt contact for 15 minutes before ending the session.

Insurance and fee details will be discussed individually before your first session. You will not be asked to provide your insurance card number here.

⚠ Do not include highly sensitive clinical information in this form. For secure submission, email completed PDF to TimDallacqua.LCSW@protonmail.com

✓ Your intake form has been submitted. Thank you — I will be in touch within one business day.

HIPAA Notice of Privacy Practices — Acknowledgement

Effective Date: January 1, 2025

Your health information is protected under the Health Insurance Portability and Accountability Act (HIPAA). I am required to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice.

How I use your information: Treatment (coordinating your care), payment (billing your insurance), and healthcare operations (quality improvement, training). I will not share your information for marketing or sell it without your written authorization.

Your rights include: The right to access your records, request corrections, receive an accounting of disclosures, request restrictions on use, and file a complaint with the U.S. Department of Health & Human Services if you believe your privacy rights have been violated.

Questions or concerns: Contact me at (406) 564-1848 or TimDallacqua.LCSW@protonmail.com. To file a complaint with HHS: www.hhs.gov/ocr/privacy

✓ Your HIPAA acknowledgement has been submitted. Thank you.

Electronic Communication Consent

Standard electronic communications (text messages, regular email) are not fully encrypted and are not HIPAA-secure. By completing this form, you are choosing to use these methods and acknowledging the associated privacy risks.

Available communication methods:

  • Phone: (406) 564-1848 — most secure for clinical matters
  • Text (SMS): Not encrypted. Suitable for appointment reminders only. You may opt out by replying STOP.
  • Secure Email (ProtonMail): TimDallacqua.LCSW@protonmail.com — end-to-end encrypted when both parties use ProtonMail

You may opt out of any electronic communication method at any time by notifying me in writing.

I consent to the following (check all that apply):

✓ Your electronic communication consent has been submitted. Thank you.

Cancellation & Attendance Policy

Cancellation Policy: I require 24 hours' advance notice to cancel or reschedule an appointment. This allows me to offer the time to another client in need.

Late Cancellations & No-Shows: Appointments cancelled with less than 24 hours' notice, or missed without notice, may result in a charge. Please contact me as soon as possible if you need to cancel.

Late Arrivals: If you are more than 15 minutes late to a session, we may need to shorten or reschedule the appointment.

Technology Failures: If you experience a technology failure at the start of a session, please call me at (406) 564-1848. Technology failures on your end that prevent the session may be treated as a late cancellation at my discretion.

Exceptions: Genuine emergencies will always be considered. Please communicate with me as soon as possible if an emergency arises.

✓ Your cancellation policy agreement has been submitted. Thank you.

Note: When you click Submit on each form, your email app will open with your responses pre-filled. Simply click Send to complete the submission. Please complete all five forms before your first appointment. For secure transmission of sensitive information, use the ProtonMail address: TimDallacqua.LCSW@protonmail.com

Request an Appointment

Get in Touch

📞
Office Phone (406) 564-1848
📠
Fax (406) 564-1844
✉️
🔐
Secure Email (ProtonMail) TimDallacqua.LCSW@protonmail.com
🗺️
Location Teletherapy — Licensed in Montana
Crisis Resources: If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline), call 911, or go to your nearest emergency room. I am not available for after-hours crisis intervention.

Send a Message

⚠ Please do not include sensitive health information in this form. For secure communication, use the ProtonMail address above.

✓ Your message has been sent. I will respond within one business day.

Downloadable New Client Forms

The following forms are provided as downloadable PDFs for your convenience. You may review them before your first appointment, or your therapist will walk you through each one during the intake process. No printing is required — these are for your reference.

📋
Client Registration Form
Basic contact information, emergency contact, insurance status, and teletherapy safety details. Completed before your first session.
↓ Download PDF
🔒
HIPAA Notice of Privacy Practices
Explains your rights under HIPAA, how your health information is used and protected, and how to file a complaint if needed.
↓ Download PDF
💻
Teletherapy Informed Consent
Covers the nature of telehealth services, technology requirements, privacy considerations, emergency procedures, and your rights as a teletherapy client.
↓ Download PDF
📄
Therapy Agreement
Outlines the terms of the therapeutic relationship, session fees, cancellation policy, and the mutual responsibilities of client and therapist.
↓ Download PDF
📱
Electronic Communication Consent
Describes the risks and limitations of communicating by phone, text, and email, and establishes your preferences for between-session contact.
↓ Download PDF

ⓘ  These forms are provided for informational purposes. Your therapist will review each form with you verbally before or during your first appointment. No written signature is required — verbal acknowledgment is documented in your clinical record.

Text Messaging & Privacy Policy

Tim Dallacqua LCSW, PLLC uses text messaging (SMS) through the office phone number (406) 564-1848 for appointment reminders, scheduling coordination, and brief administrative communications. This policy explains how text messaging is used, your rights, and how your information is protected.

SMS Opt-In

By providing your mobile phone number to this practice, you consent to receive text messages related to your care, including appointment reminders, scheduling changes, and brief administrative messages. You are not required to consent to text messaging as a condition of receiving services.

When you opt in to text messaging, you will receive a confirmation message similar to the following: "Tim Dallacqua LCSW, PLLC: You are now opted in to appointment reminders and scheduling messages. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out or HELP for help."

Message frequency varies. You may receive occasional appointment reminders or scheduling messages. Message and data rates may apply depending on your mobile carrier and plan.

How to Opt Out or Get Help

  • To stop receiving text messages, reply STOP to any text message from this office. You will receive one confirmation message and will not receive further texts.
  • To request help or information about text messaging from this office, reply HELP to any text message. You may also call the office directly at (406) 564-1848.

Privacy & HIPAA

Standard SMS text messages are not encrypted and are not considered a secure method of communication under HIPAA. Protected health information (PHI) — including diagnosis, treatment details, or clinical notes — will never be sent via text message. Text messages from this office are limited to scheduling and administrative matters only.

For secure communication, please use the ProtonMail address: TimDallacqua.LCSW@protonmail.com. Your privacy rights under HIPAA are described in full in the Notice of Privacy Practices.

Information We Collect & Third-Party Sharing

When you provide your mobile phone number, we collect that number for the sole purpose of scheduling and administrative communication. Your phone number and SMS consent information are never sold or shared with third parties for any purpose, including marketing. Your information is used only for direct communication related to your care and is not shared with any outside organizations, vendors, or data brokers.

Contact

Questions about this policy may be directed to Tim Dallacqua LCSW, PLLC by phone at (406) 564-1848 or by email at TimDallacqua.LCSW@protonmail.com.