To request services for yourself or your child, you can contact us by phone (402) 472-1152 or you may use the form below. For general inquiries, you may email us at This information will be passed on to one of our clinic team members, who will contact you within 5 to 7 business days. 


Client Date of Birth: Required
May we leave you a voicemail and/or email? Required
Please indicate your service choices below: Required