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Mental Health Centers
Applications

The application s may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete a form online, you must print the form and mail it to the address below.

pdf icon Initial Application
pdf icon Renewal Application

All materials shall be submitted to the following address with fee payable to the DHHS, Licensure Unit.

Licensure Unit
Mental Health Centers
PO Box 94986
Lincoln, NE 68509-4986

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