Skip to Main Content

* indicator means Required

To get your FREE FIRST AID KIT, along with information about Samaritan Health Services, just complete the information below. Please note this offer is intended for new residents moving to Oregon.

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.