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Samaritan Counseling Center of Greater Birmingham 100 Missionary Ridge, Birmingham AL 35242 Counselor 2059673660 Location www.samaritancc.org Client # Client(s) Information Form (One form per individual,
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Anyone who wishes to access Samaritan services or assistance needs to fill out the information form.
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The information form - samaritan is a document used to report details about a samaritan involved in a specific event.
Anyone who witnessed or assisted a samaritan in need is required to file the information form - samaritan.
The information form - samaritan can be filled out by providing details about the event, the samaritan's actions, and any contact information.
The purpose of the information form - samaritan is to document the actions of the samaritans and provide a record for future reference.
Information such as the date, time, location of the event, the samaritan's name, contact information, and a detailed description of their actions must be reported on the information form - samaritan.
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