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Offers medical supplies to those in need. Contracts with most government and commercial insurance companies. May have waiver programs. Products are delivered discretely to the customers front door by UPS for no additional charge. Home medical supplies that are available include incontinence supplies, urological supplies, pediatric supplies, ostomy supplies, wound care products, nutritional supplements.

Provides a Veteran's Employment Specialist to assist with coordinating counseling, testing, and identifying training and employment opportunities for veterans.

Services include:

Licenses and Permits: driver's licenses, motorcycle licenses, chauffeur's license photo identification ($5) and permits for commercial licenses are obtained at this site. The Iowa driver's license knowledge examination is printed in the following languages: Albanian, Arabic, Bosnian, Burmese, Cambodian, Chinese, English, French, German, Greek, Hebrew, Hmong, Italian, Korean, Laotian, Polish, Portuguese, Russian, Somali, Spanish, and Vietnamese. Individuals may consult with their local driver's license examiner if special translation arrangements are needed.

REAL ID can be obtained at the DOT office. Beginning October 1, 2020, TSA will require that you show a REAL ID-compliant license or ID to go through airport security. The REAL ID will also allow entrance into Federal or nuclear facilities. Documents required include proof of identification (official birth certificate with a seal, valid U.S. passport, or most recent U.S. Citizenship and Immigration Services immigration or refugee document), proof of social security number (social security card or W-2/1099), proof of residency (2 items showing your name and address where you live, no PO boxes e.g. utility bill, credit card bill statement, pay stub), proof of any legal name changes (marriage certificate, divorce decree, court order under petition for name change).

ONLINE RENEWAL system allows U.S. citizens to view their driving record and renew their license online (open to older adults ages 70 and older, must have a valid driver's license, must not have any medical/vision conditions that may impact ability to drive and must have same address and name) https://mymvd.iowadot.gov/Account/Login

HIGHWAY HELPER, call 9-1-1 COMMERCIAL VEHICLE INFORMATION - 800-925-6469 (toll free in Iowa) TRUCK PERMITS - 515-237-3264 PUBLIC TRANSIT - 515-239-1875 or www.iatransit.com AVIATION - 515-239-1691 or www.iawings.com RAIL - 515-239-1052 or www.iowarail.com BICYCLISTS - 515-239-1713 or www.iowabikes.comMULTI-USE TRAILS - 515-233-7733 or www.iowabikes.comWATERWAYS - 515-239-1653 or www.dot.state.ia.us/barge.htm

Provides a shower facility for those without access to private bathing facilities. 

Offers financial assistance to students pursuing studies in the professions that aid the sight and hearing impaired. 

Provides a dual-diagnosis/co-occurring mental health and substance abuse treatment facility. Services include treatment to those with substance use disorder, with or without a mental health diagnosis. Substance use treatment options vary by location, but may include residential treatment, outpatient treatment, virtual addiction treatment, and detoxification.

Also provides medication-assisted treatment (MAT) services.

Provides a dual-diagnosis/co-occurring mental health and substance abuse treatment facility. Services include treatment to those with substance use disorder, with or without a mental health diagnosis. Substance use treatment options vary by location, but may include residential treatment, outpatient treatment, virtual addiction treatment, and detoxification.

Also provides medication-assisted treatment (MAT) services.

Offers a new treatment for mental illness which involves the assessment of clinical imbalances through the patient's medical history, physical examination, and laboratory tests. Functional medicine also looks into the genetic makeup of a patient and environmental factors such as diet, physical activities, traumatic experience, and exposure to toxic substances. 

Offers health care services for women veterans of all ages. Primary care providers specialize in women's health, including specialists in gynecology, obstetrics, female urology, oncology, medicine, radiology, surgery, and breast illness. 

Provides professional development and leadership to promote school improvement, a variety of instructional services, special education support services (birth to age 21), and technology and media services.

Non-residential level-4 outpatient substance abuse program which provides substance abuse counseling and relapse prevention program. Services are offered to individuals abusing substances or individuals who have been affected by someone else's use or abuse of alcohol or other drugs. The availability and accessibility of community-based services allows individuals to remain in their own environment while receiving services that meet their needs in the least restrictive environment.

For Thanksgiving/Christmas 2025:

Holiday Food provides special meals during the holiday season.

Holiday Families provides support to families during the holidays, in partnership with community organizations.

Thanksgiving and Christmas food baskets are offered through some Mid-Sioux Opportunity outreach offices, as well as Christmas gift distribution programs. Dates and times vary by location. Families are encouraged to contact their local office for details.