- About Us
KVC Nebraska is a private, nonprofit organization that provides a variety of programs and services to meet the diverse needs of youth, families and adults throughout Nebraska. We offer foster care, home-based support for people with disabilities, intensive in-home preservation and reunification, behavioral health, substance use evaluations, and educational support services to over a thousand children, families and adults every year.
We offer a variety of programs and services to meet the diverse needs of children, youth, adults and families. We accept referrals from the State of Nebraska Department of Health and Human Services, Saint Francis Ministries, and Nebraska Juvenile Probation.
KVC Nebraska provides a variety of resources to help educate the community about child welfare, foster parenting, caring for individuals with disabilities, healthy brain development and more.
Foster Care and Foster Parent Forms
Outpatient Therapy Intake Forms
If you are a new Outpatient Therapy client, please fill out all forms below. Please call 402-880-4926 if you have questions.
- New Patient Intake Questionnaire
- Informed Consent (Note: Includes Grievance Policy, Client Rights and Responsibilities, and HIPAA Notice of Privacy Practices.)
- Insurance Form
- Emergency Contact Authorization Form
- PCP Communication Authorization Form
Outpatient Therapy Assessment Forms
The forms below are for existing patients only, and will be filled out with the therapist. New patients, please disregard these forms. Please call 402-880-4926 if you have questions.