Intake Forms – Samaritan Counseling Center

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NEW CLIENT
ABOUT
SPONSORS & RESOURCES
CAREER
CONTACT

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Intake Forms

Intake Forms

NEW CLIENT INTAKE FORMS

Download Therapy Intake Form

Download Psychiatry Intake Form

Contact Us

Samaritan Counseling Center of the Northwest Suburbs

847-382-HOPE (4673)
FAX: 847-382-1915

For services and to make an appointment:

Ext. 322
For Executive Director, X 313
For General Information, X 310

Email questions to: admin@sccnw.org

Main Office

Samaritan Counseling Center of the Northwest Suburbs
1000 Hart Road, Suite 201
Barrington, IL 60010

Algonquin Office

Samaritan Counseling Center
1146 N. Main Street (Rt. 31)
Algonquin, IL 60102

Other Locations

The Pointe Christian Outreach Center
5650 Northwest Highway Crystal Lake, IL 60014

Shepherd of the Hills Lutheran Church
404 N. Green Street McHenry, IL 60050

© Copyright 2022. Samaritan Counseling Center Northwest.

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