If you are youth (24 years & under), complete the form below to have one of our staff contact you to schedule an appointment.
If you are youth 24 years and under, you can complete the form below to have one of our staff contact YOU to schedule an appointment. To ensure your confidentiality, please provide a phone number that you feel comfortable receving calls and/or voicemails from our staff. If you want to speak with someone directly to schedule an appointment, you can call 402-727-5396 or 866-727-5396 and speak with our front desk staff.
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