Hope 4 Iowa Crisis Call Line • (844) 673-4469
Cass • Fremont • Harrison • Mills • Monona • Montgomery • Page • Pottawattamie • Shelby
Learn how to apply for our services and fill out our form for more information.

Please find below our Region Application along with our Notice of Privacy Practices. All residents of counties in the SWIA MHDS Region are eligible for Information & Referral and Crisis Services regardless of eligibility criteria.

Please see below for a brief summary of our criteria:

General Eligibility:

Diagnostic Eligibility:

Financial Eligibility:

You may fax application materials to our central office at 712-328-5668

You may mail application materials to our central office at

515 5th Ave.
Council Bluffs, Iowa 51503

If you have questions about Region services or funding, please contact our central office at 712-328-5645.

Application Materials

This page was printed from the Southwest Iowa Mental Health & Disability Services Region on March 4, 2021. For the latest information, visit swiamhds.org.