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Formerly Presbyterian Counseling Service restoring hope. . . Reconciling relationships. . . Transforming lives Welcome to Samaritan Center of Puget Sound. We are pleased that you have chosen Samaritan
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Start by gathering all the required information such as your personal details, including your full name, address, phone number, and email.
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Proceed to fill out the section that asks for your emergency contact information. Provide the contact's name, relationship to you, and their phone number.
03
Move on to the medical information section. Here, you will need to provide details about any pre-existing medical conditions, allergies, medications, and any specific instructions for the staff to follow in case of an emergency.
04
Next, you will be asked about your insurance information. Fill in the necessary details like the name of the insurance provider, policy number, and any additional information required by the Samaritan Center.
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The form might also include a section for your preferences and expectations. This is where you can mention any specific requests or requirements you may have during your time at the center.
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Finally, review the form to ensure that all the information provided is accurate and complete. Make any necessary corrections before signing and dating the form.

Who needs Welcome to Samaritan Center?

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Individuals seeking admission or participating in programs at Samaritan Center.
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Patients requiring medical or counseling services.
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Families or individuals interested in accessing the resources and support offered by Samaritan Center.
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