A few of our clients and/or their family members are located a great distance from the Family Resources locations in central Nebraska. For these clients we have licensed therapists located across the country that are able to provide the counseling services our clients are in need of. If you are interested in becoming an affiliate of Family Resources of Greater Nebraska, please print and fill out the application below. Please send the completed application, along with a copy of your profession license, proof of liability insurance, and completed W-9 to:

Mail: 
Family Resources of Greater Nebraska
PO Box 5858
3532 W. Capital Ave.
Grand Island, NE 68803

Email: 
lana@family-resources.net

Fax: 
308.381.2712

Affiliate Application Form

Please note that affiliate providers may only be needed in certain market areas. Family Resources carefully selects providers to fill those market needs. If an Affiliate applicant is not accepted into the Family Resources network, the applicant will be notified via email and the application may be kept on file for future reference. If an applicant is approved, notification will be made as soon as possible.