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General medical care for all. Services include:

- Audiology.

- Family medicine.

- ENT.

- Gastroenterology.

- Internal medicine.

- Pediatrics.

Offers mental health and substance use disorder services, including: recovery support and outpatient substance use treatment, DUI evaluation and risk education, psychiatric care, and outpatient mental health program.

Collects property taxes, conducts annual tax sale for delinquent taxes, processes vehicle transactions, issues driver's licenses, and issues motor vehicle titles and registrations.

Provides hospice and palliative services to veterans with life-threatening illnesses. Services focus on comfort, quality of life and reducing suffering.

Provides free food for individuals and families in need. Emergency food is also available.  See website.

Volunteer Proxy Service is also available if client is unable to come to the food pantry.

Bring bags or boxes to transport the food you select to your car.

Provides comprehensive support services for individuals and families facing mental health or behavioral challenges. Families build a personalized support team that may include professionals, service providers, friends, mentors, and other trusted individuals. 

Evening meal provided by St. Joseph's Parish and served each weekday at 5:30 pm at Lund Hall.

Provides weatherization services to make homes more energy efficient through health and safety checks including furnaces, insulation, water heaters and sealing doorways and windows. Inefficient heating components may be repaired or replaced.

The Regional Office of Education is responsible for the delivery of initial and continuing education for school bus drivers. Schedule can be found on the website.class="pasteContent_RTE">

Provides the delivery of hot and healthy noontime meals to an individual in the comfort and privacy of their own home. All Meals are heart healthy and diabetic safe. The meals provide one-third of the recommended daily allowance of nutrition. Specialized diets including renal, low lactose, and pureed are also available.

Community health prevention, education, and wellness services.

Vaccines for children ages birth to 19. Adult and travel immunizations also available. Flu shots available for adults and children.

Genetic clinic associated with the Munroe-Meyer Institute through the University of Nebraska Medical Center-Omaha.

Community education and wellness programs, including work site wellness.

Medically handicapped children's clinic provides specialized medical services for families with children with disabilities or those who have ongoing health care needs.

Accepts in-person locations (Des Moines, Ankeny, Boone, and Indianola) accept donations of personal hygiene items & diapers/wipes. All locations except for Indianola accept non-perishable food donations as well. Cash donations are always accepted.

Assistance to establish paternity, establish child support orders, and collect child support payments.

Voice Response Unit provides information regarding:

- Option 1: Payment Information available Mon-Sun 24 hours - Caller must have a Nebraska Court Order number to use this option (otherwise caller must press option 2); payment information; and current balance.

- Option 2: Questions Regarding Child Support Case - Case status; review and modification; intergovernmental cases (out-of-state court orders); enforcement actions (income withholding, credit reporting, etc.); license suspension; payment history requests; address/name/employment changes.

- Option 3: Questions Regarding Payments/Employers - Direct deposit or auto withdrawal, electronic payment card (EPC), credit card user ID; website or online payments; requests for user ID’s and passwords for website; lost, stolen, or damaged checks; payments received and/or disbursed; and billing statements.

- Option 4: General Information - General information regarding child support; enforcement offices, hours of operation and locations.

Offices that are listed include:

Nebraska Child Support Payment Center

Nebraska Customer Service Call Center

Child Support Enforcement Offices; and

Clerk of the District Court Offices.

- Option 5: Another IV-D Agency - Information provided to other State Child Support Enforcement agencies.

Works alongside medical clinicians to help patients manage depression, family concerns, anxiety, trauma, risky behaviors, chronic diseases, child and adolescent well-being, ADHD, substance use and abuse, family violence and more complex conditions. Psychiatrists consult with the medical and behavioral health clinicians to ensure that patients receive care through effective assessment and evaluation, diagnosis, medication management, and therapeutic services.

Offers counseling in English and Spanish, and counseling in other languages is available using interpreter services. Social Assistance Workers are available to help patients access resources, address urgent financial issues and work through housing problems, violence, sexual assault and other issues with the goal of promoting self-efficacy in all areas of life that impact health and well-being.

Offers support groups for anger management, trauma and recovery,  and behavioral therapy.

Provides cancer care, hematology, medical oncology, and radiation oncology specialties.