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To get your FREE FIRST AID KIT, along with information about Samaritan Health Services, just complete the information below.

Contact Information:
Day - Month - Year
Number of children in household
Type number in the field, i.e. 1
Type number in the field, i.e. 1
Type number in the field, i.e. 1
I would like Samaritan's physician referral line to give me information on visiting a:
Please send me information on the following:

Your privacy is important to us. The information gathered will only be used by Samaritan Health Services and will not be shared in any way with a third party.