Only emergency services and small outpatient clinics are available in Hinsdale, Ouray and San Miguel Counties. These counties and other outlying parts of the Region, such as the West End of Montrose County, depend heavily on volunteer ambulance crews and emergency medical technicians. Operating expenses for these limited services are difficult to raise in the smaller communities that depend on them for their only local medical facilities. There appears to be an adequate number of physicians in several specialties and other health professionals such as dentists, chiropractors, physical therapists, and occupational therapists. Mental health services are provided by the Midwestern Colorado Center for Mental Health through outpatient and residential care facilities in the larger communities.
Some smaller communities have limited services available.
Many private mental health practitioners are located throughout the Region providing mental health and counseling services as well.