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Samaritan Counseling Centers, Inc.
Where there is help, there is hope.
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Forms

Any form you need to make your appointment go smoothly can be found right here! Simply utilize our below attachments and bring your completed forms to your initial visit.

Client Registration
Release of Information
Informed Consent
Insurance Release

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    Samaritan Counseling Centers, Inc.

    Where there is help, there is hope.

    Samaritan Counseling Centers, Inc.
    Contact Information
    219-879-3283

    service@samaritancounselingmc.org

    340 Commerce Sq, Michigan City, IN 46360
    Opening Hours
    Monday–Friday: 9am – 6pm
    Saturday: By Appointment
    © 2023 Samaritan Counseling Centers, Inc. .All Rights Reserved