We at the Samaritan Center strongly recommend contacting our Front Office Team to fill out and submit paperwork for maximum protection of your privacy.
– If you are a veteran, service member, or military spouse please call 512-466-4454 for assistance. If no one answers, please leave a message and a Veteran Peer Support Specialist will return your call.
– All other clients can reach us at 512-451-7337, option #8, and leave a message for an Intake Specialist to call you back.
Last resort option: if you have access to a printer and scanner, you may print, fill out, scan, and submit your paperwork to email@example.com. Please be advised that we cannot guarantee the security of your protected health information if you choose this option.
- Adult Intake Packet
- Papeleo de Adulto
- Child-Adolescent Intake Packet
- Papeleo de Niño y Adolescente
- Integrative Medicine Intake Packet
- Papeleo de Medicina Integrativa
- Privacy Notice
- Two Way Authorization Form