Below are the forms new clients need to fill out before receiving treatment at Samaritan Counseling Center. The forms are provided in both English and Spanish. Forms for Samaritan Center for Children and Families are i in the next section.

Adults-English	Children under 18-English	Adultos-Espanol	Ninos-Espanol
Notice of Therapists’ Policies and Practices to Protect the Privacy of your Health Information Psychotherapist Patient Services Agreement Adult Questionnaire	Notice of Therapists’ Policies and Practices to Protect the Privacy of your Health Information Psychotherapist Patient Services Agreement Child’s Questionnaire Child’s Developmental History	Aviso de Terapeutas Polizas y Practucas Para Proteger la Privacidad de su Informacion de Salud Acuerdo de Servicios de Psicoterapeuta Paciente Cuestionario de Adultos	Aviso de Terapeutas Polizas y Practucas Para Proteger la Privacidad de su Informacion de Salud Acuerdo de Servicios de Psicoterapeuta Paciente Forma para Ninos y Adolescentes Formulario de la Historia del Desarrollo