Samaritan Counseling Center

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Welcome to Samaritan Counseling Center



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New client paperwork for adults (please print and complete):
Client Self Report Form
Counseling Policy
Fee Policy
Consent Form
Privacy Notice

New client paperwork for children and adolescents (please print and complete):
Developmental Questionnaire
Counseling Policy
Fee Policy
Consent Form
Privacy Notice

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If you would like these forms mailed to you, please contact us at 717-560-9969.



 

Samaritan Counseling Center
1803 Oregon Pike
Lancaster, PA 17601
717-560-9969 · 1-800-400-7789
Fax 717-560-9553