Meridian Mental Health Insurance Forms

Below are personal and insurance information forms.

Please download, complete and bring these forms to the MMHA Office.

You will need a pdf reader to view these files.

Meridian Medical pdf image Medical Information

Meridian Medical pdf image Information Release

Meridian Medical pdf image New Patient Packet

Meridian Medical pdf image HPAA Privacy Information

 
 

Local Support Centers

National Alliance on Mental Illness (NAMI)
415 South 25th Avenue/Lasting Hope Annex
Omaha, NE 68131 | 402-345-8101

Safe Harbor Peer Services
Lasting Hope Annex
415 S. 25th Avenue
Omaha, NE 68131 | 402-715-4226

Salvation Army Emergency Community Support Program
Lasting Hope Recovery Center Annex
415 S. 25th Avenue
Omaha, NE 68131 | 402-885-8007

Outpatient Chemical Dependency Evaluation

Alegent Psychiatric Associates
Immanuel – Ike Friedman Building
7101 Newport Avenue, Suite 207
Omaha, NE 68152 | 402-572-2916

Lutheran Family Services
2401 Lake Street, Suite 110
Omaha, NE 68111 | 402-455-9757

National Mental Health Hotlines

Alegent Creighton Health Behavioral Crisis Hotline

402-717-HOPE (4673)

Depression and Bipolar Support Alliance

1-800-826-3632

Lasting Hope Recovery Center Community Crisis Line

402-717-4673

Mental Health America

1-800-969-6642
TTY: 1-800-433-5959

Nebraska Family Hotline

1-888-866-8660

National Suicide Hotline

1-800-273-8255

National Alliance on Mental Illness

Nebraska: 402-345-8101 Toll-free: 1-800-950-6264

National Institute of Mental Health

Toll-free: 1-866-615--6464
TTY: 1-301-443-8431