LSI’s Mental Health Program for Uninsured Youth

LSI’s Mental Health Program for Uninsured Youth is available for uninsured children and teens in Polk County, at no cost to their families.

Who is Eligible?

  • Polk County families with children or teens under the age of 18
  • Families with no form of insurance
  • Children with a designated Serious Emotional Disturbance from their physician or LSI therapist.

How to Get Started

  • Fill out the intake form below or
  • Call 888.457.4692
  • Families can enroll in this program on their own or a family’s caseworker can enroll for them.

Intake Form

Call Central Intake at 888-457-4692 with questions

Client Information

MM/DD/YYYY

Program Type

Parent Guardian Information

If biological parents are not married or child is in foster care/placement *bring custody agreement/court order stating who has leagal guardianship to 1st meeting.*

Referral Information

Who referred you to Lutheran Services of Iowa? OR Please give your information if you are the referral source.

Need Help?