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General medical care for all. Services include:

- Audiology.

- Family medicine.

- ENT.

- Gastroenterology.

- Internal medicine.

- Pediatrics.

Offers counseling services to families, groups, and individuals. In addition, the practice may offer Teletherapy services for people who cannot travel to the office. Types of counseling services available include: Adolescent/youth, bereavement/grief, child abuse, child sexual abuse, crime victim/witness, divorce, eating disorders, gender identity, health/disability related, internet addiction, marriage, miscarriage, over-spender, parent counseling, post-abortion, premarital, sexual orientation, sexuality, spouse/domestic partner abuse, trauma focused cognitive behavioral therapy.

In-home residential services designed to develop and maintain skills ranging from personal care to protective oversight. Residential habilitation is an around-the-clock service in a group home setting or Extended Family Home/Shared Living. Risk services provides extra training and clinical staff involvement.

Offers used clothing for infants through adults, including shoes, jackets and coats. Will also sort, bag, and deliver requested clothing to school nurses around the area. Will accept donations of gently used, or new, clothing. 

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.

Provides law enforcement services to the county. Also operates the county jail.

Provides assistance to new mothers with newborn children, ages 0-3 months. 

Offers to sell new and used home improvement materials to the public at discounted prices. All proceeds from ReStore benefit the mission of Greater Des Moines Habitat for Humanity. Donations: Materials in the store are donated from the public and private sector, and include such items as cabinets, lighting and plumbing fixtures, doors, lumber, flooring, paint, and windows. 

Designed to assist Social Security Disability (SSI/SSDI) beneficiaries with the transition from Social Security Disability Benefits to work. It provides employment supports and services to help reach work goals.

RAMP also has a certified Community Partner Work Incentives Counselor (CPWIC) that can assist individuals with understanding their benefits and the changes that will occur once employed.

Free and confidential services for pregnant women.

Pregnancy tests by appointment or walk in basis as available.

Adoption education and referrals.

Sexual risk avoidance education.

Fetal development and pregnancy education and classes.

Parenting classes.

Fatherhood classes.

Bible studies and spiritual support.

Material assistance through Bella's Boutique offers free maternity clothes, baby equipment, baby clothing up to 3T, and free diapers; call for information.

HCBS (HOME AND COMMUNITY BASED SERVICES) programs provide training and support to people living in shared homes in the community with opportunities for learning skills to help develop independence. (Pella/Knoxville and Indianola/Des Moines regions).  SPIRITUAL SERVICES are available to all clients.

Provides financial assistance to senior and disabled individuals with unmet needs. Services could include car repairs, eye glasses, medical equipment, dental care, or help with clothing. Senior Basket Program assists seniors with various items that cannot be acquired with food stamps. Basket varieties include things like cleaning supplies, kitchen items, or personal hygiene supplies. Two Baskets are distributed each year in the Spring and Fall.

Provides service coordination, nutrition services, and health assessments for children ages 0-3 enrolled in Early ACCESS (Early intervention for infants and toddlers). 

Maintains official real estate documents, contracts, articles of incorporation, partnerships, state tax liens, military records, birth, divorce and death records. Offers fishing, ATV, Boat and Snowmobile licenses/renewals and a Passport acceptance facility and photo service. Military Records for tax exemptions and benefits also available. Can also offer marriage licenses and certificates. 

OFFICIAL DOCUMENTS: mortgages, deeds and contracts, assignments, releases, plats and surveys, easements, State and Federal tax liens.

Provides clothing, household items, and personal hygiene items to victims/survivors of domestic violence.

Services are available as part of CNCAP's THRIVES program.

Offers an 8-hour course that teaches how to identify, understand, and respond to signs of mental illnesses and substance use disorders. The training provides the skills needed to reach out and provide initial help and support to someone who may be developing and mental health or substance use problem or experiencing a crisis.

Also offers a course designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis. Topics include depression, anxiety, and eating disorders.

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.