Samaritanccwtx.org

Samaritan enter, Inc. hild/Adolescent lient Intake Information

WEBIs your child currently prescribed or have they ever taken any medications for mental health? ___Y ___N If yes, please provide the name, dosage, dates of use, and how …

Actived: 5 days ago

URL: https://samaritanccwtx.org/wp-content/uploads/Child-Adolescent-Intake-Packet-2023.pdf

Samaritan enter, Inc. Adult lient Intake Information

WEBDoes anyone in your family (grandparents, parents, siblings, children) have any medical issues? __Y __N If yes, please provide details including what medical issue, person’s …

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Samaritan Center Consent for Treatment/ Health Care …

WEBSamaritan Center Consent for Treatment/ Health Care Agreement I _____, hereby voluntarily consent to

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2020 Nominees — Samaritan Center

WEBMeredith Greenwood-Brown. Midland Baptist Crisis Center. Midland Children's Rehabilitation Center. Midland County Sheriff's Department. Midland Fair Havens

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If you are not able to tell us your preference, for example if …

WEBIn the case of fundraising: We may contact you for fundraising efforts, but you can tell us not to contact you again. Our Uses and Disclosures

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Duty to Warn Communication Authorization and Release of …

WEB05/17/2023 Samaritan Center, Inc. Confidentiality and Grievances Agreement The Samaritan Center is an ecumenical, non-profit organization, which was established to …

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If you intend to apply for a partial scholarship, please provide

WEBRevised February 2024 Samaritan Center, Inc. Fees and Services Agreement Appointments Sessions are available by appointment only, and each session is …

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