Welcome to Samaritan Counseling Center of Southeast Texas.

Please fill out the appropriate forms below. If you require assistance, please let us know.

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Registration Packet

Are you a new client? Fill out this form first.

Video Therapy Consent

Please complete this form for Video Therapy services.

Consent for Return to In-Person Services

This Consent for Return to In-Person Services is a supplement to the general informed consent that we agreed to at the outset of our clinical work together.

Paquete de registro

¿Eres un cliente nuevo? Complete este formulario primero.

Consentimiento de Video Terapia

Complete este formulario para los servicios de video terapia.

Consentimiento para volver a los servicios en persona

Este Consentimiento para el regreso a los servicios en persona es un complemento del consentimiento informado general que acordamos al comienzo de nuestro trabajo clínico juntos.

Application for Fee Adjustment