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Behavioral Health
Adult and Youth
Crisis Response Line
308-390-4645
800w or 600w Retina LOGO

Behavioral Health
Adult and Youth
Crisis Response Line
308-390-4645

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  • Home
  • About Us
    • What We Do (Direct Services)
    • Contracted Services
    • Where We Are Located (Locations)
    • About Region II
    • Organization Documents
    • Program Staff Listing
    • Outpatient Therapist Bios
  • Resources
    • Opioid and Substance Use Resources
    • LOSS (local outreach to suicide survivors) Team Information
    • Grounding Lines
    • Grounding Exercises
    • Seeking Safety Instructional Video
    • Seeking Safety Videos
  • Forms
  • Open Access
  • My Strength
  • Calendar/Events
Calendar/Events
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Forms

Heartland Client History Form

Heartland Client History Form

Release of Information Forms

Outpatient Programs Release of Information Form

Community Support Release of Information Form

Day Support Release of Information Form

Emergency Support Release of Information Form

Youth Care Release of Information Form

Referral Forms

Community Support Referral Form

Emergency Support Referral Form

Youth Care Coordination Referral Form

Day Support Referral Form

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North Platte, NE 69103, USA
 
308-534-0440
Region II Human Services
copyright © 2024
  • Home
  • About Us
    • What We Do (Direct Services)
    • Contracted Services
    • Where We Are Located (Locations)
    • About Region II
    • Organization Documents
    • Program Staff Listing
    • Outpatient Therapist Bios
  • Resources
    • Opioid and Substance Use Resources
    • LOSS (local outreach to suicide survivors) Team Information
    • Grounding Lines
    • Grounding Exercises
    • Seeking Safety Instructional Video
    • Seeking Safety Videos
  • Forms
  • Open Access
  • My Strength
  • Calendar/Events
Policies
Client Rights & Responsibilities
Code of Ethics
Conflict of Interest
Financial Eligibility
Grievance Policy
Privacy Policy
Region II Human Services is funded in part by federal, state and county dollars.  The total contract amount is $5,872,393.  Of this, $5,872,393 or 89% is funded by Nebraska Department of Health and Human Services, Division of Behavioral Health Sub award Number 73933-Y3 for FY2023-24; $203,707 or 4% is federal funding from the Federal Blocks Grant for Community Mental Health, Award Numbers B09SM086022, 93.958 and B09SM087373, 93.958; and $427,899 or 7% is federal block grant funding from DHHS, Substance Abuse Prevention & Treatment Block Grant Administration Number B08TI084658, 93.959 and B08TI085820, 93.959.  We receive $ $414,232 in county funding.  Services are provided on a Sliding Fee Scale.
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  • Home
  • About Us
    • Back
    • What We Do (Direct Services)
    • Contracted Services
    • Where We Are Located (Locations)
    • About Region II
    • Organization Documents
    • Program Staff Listing
    • Outpatient Therapist Bios
  • Resources
    • Back
    • Opioid and Substance Use Resources
    • LOSS (local outreach to suicide survivors) Team Information
    • Grounding Lines
    • Grounding Exercises
    • Seeking Safety Instructional Video
    • Seeking Safety Videos
  • Forms
  • Open Access
  • My Strength
  • Calendar/Events