+(308) 633-2845

Contact

Contact Form

Please fill the form below, send it to us and we will be in touch with you as soon as posible.
Please select the area(s) of your interest

Notes:

  • We will offer a complementary brief initial meeting to determine which of our specialized therapist is right for you.
  • Most insurances, incluiding Medicaid, accepted.
  • We offer professional services that are evidence based and confidential.

Downloads

For a better service you may download these forms, fill and send them to Tranquility Health by fax (308) 633-2847 or bring them with you to the office.

Forms & Agreements

First Session Information
Symptoms Form
Consent to Treat Form
Insurance Authorization Form
Notice of Privacy Practices
Your Rights

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using: “© Tranquility Health” and the date of the download.

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