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How to Join

Membership Questionnaire

NABHO Membership Form

All fields are required and will help us to ensure that all representatives of your organization have access to the website and receive appropriate communications from our Association and from National Council.

Your Contact Information

Please start by giving us your individual contact information. (We will ask for additional Organization contact information below.)

First Name *
Last Name *
Organizational Information and Contacts

Please give us some additional information for your Organization.

Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
What is your organization's corporate status?
Is your organization a direct care provider?
If your organization IS NOT a direct care provider, what are you? (select all that apply)
If your organization IS a direct care provider, what type of provider are you? (select all that apply)
What types of services does your organization provide? (select all that apply)
on a scale of 1 (not at all) to 5 (very), how involved is your agency in child welfare issues?
Which type(s) of area(s) does your organization serve? (select all that apply)
Which age group(s) does your organization serve? (select all that apply)
Which accreditations does your organization hold? (select all that apply)
Does your organization contract with a commercial EHR vendor?
First Name *
Last Name *

Key Contacts serve as the primary liaisons between NABHO and your organization. They will be tagged in our system for communications related to gathering information about your organization. Their email address will also be shared with American Communications Group (our lobbying organization) and the National Council, so that we know that your organization is kept up-to-date with federal and state policies. If you would like us to use your Director as your Key Contact, please just type in the space below.

Other Contacts. Please list anyone who you would like to be included in our NABHO contacts below. Include first and last names as well as email addresses.

Dues and Invoicing

The information you provide here will be used to generate an INVOICE for your organization.

Dues are calculated based on the size of the member's behavioral health budget, which is comprised of mental health, substance use, criminal justice, and child welfare services operated under the governing authority of the member organization. You will be asked to indicate your organization's budget to calculate your dues amount. 

Invoices will be sent by June 1.

Please indicate your organization's Dues Category.

The dues year runs from July 1 to June 30. Any new organization that joins the Association after October 1 will pay a prorated amount for the first year’s dues.

Dues can be paid in a single lump sum (see below Option 1) or over two equal installments (see below Option 2). Members will be asked to select one of the two options below.

Option 1: One payment. Full dues must be received within 30 days of the new fiscal year (by July 31). Invoices will be sent by June 1st. A grace period is extended to August 31st. Additional reminders will be sent throughout the grace period. Any dues paid after August 31st will be assessed a penalty of $100 per month. After August 31st, members will have an additional 30 days to submit dues plus penalty, or they will no longer be a member in good standing.

Option 2: Two payments. Dues will be paid in two equal installments. The first payment must be received within 30 days of the new fiscal year (by July 31), and the second installment must be received within 6 months of the new fiscal year (by December 30). An initial invoice for the first half of dues payment will be sent by June 1st, and a second invoice for the balance shall be sent by November 1st. A grace period for the first installment is extended to August 31st. Any dues paid after August 31st will be assessed a penalty of $100 per month. After August 31st, members will have an additional 30 days to submit dues plus penalty, or they will no longer be a member in good standing. No grace period is extended for the second installment. Members who fail to submit payment of the second half of dues by December 30 will no longer be in good standing.

We understand there are times when members are faced with extenuating circumstances under which dues payment could create a financial burden on your organization. Members may request special consideration, in writing, submitted to the Executive Committee by June 30th.

Dues to the Nebraska Association of Behavioral Health Organizations (NABHO) are not deductible as charitable expense but may be deductible as an ordinary and necessary business expense. A portion of the dues, however, is not deductible as an ordinary and necessary business expense to the extent that NABHO engages in lobbying. The non-deductible portion of the dues for July 1 through June 30 is 35% of the dues amount.

If membership is terminated in accordance with Section F or G any dues or assessments paid shall be forfeited.

Please select an invoicing option for dues.

Dues notices will be sent by June 1st.  Written notice will be sent out if dues have not been received by 60 days, notifying the member they have additional days to submit dues plus penalty or they will no longer be in good standing. 

PLEASE NOTE:

As stated above, a member may request special consideration from the Executive Committee by June 30th when the dues would create a financial burden on the organization, and the Executive Committee may act on behalf of the association in resolving any such requests for consideration. 

Email Annette.Dubas@NABHO.org by June 30th to request special consideration.

Once you click SUBMIT and then FINISH, we will receive your information and be able to generate an invoice for your organization.

Thanks to our Alliances Partners

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