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Tell Your Story

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Consent and Testimonial Submission

I understand that by filling in the above name fields, I am providing my authorized signature to consent to the use of my testimonial as described below, and that Samaritan will contact me to confirm this authorization.

Permission to Publish
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Samaritan will not publish your full name, phone number, or email, nor share them with another person or entity.

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By providing my full name above, I acknowledge/understand that the written testimonial I provide may be used by Samaritan Counseling, Guidance, Consulting, in full or in part, for marketing/advertising purposes. My testimonial may be distributed via Samaritan's website, social media pages, and used in promotional materials, printed and/or posted online, such as brochures, the annual report, newsletters, and flyers.

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Expiration - I have the right to revoke this consent at any time and may do so by calling 412.741.7430 and providing my full name, call-back number, and my stated request to revoke my consent. If I revoke consent, Samaritan will remove my testimonial from online platforms and will cease to print/post it in the aforementioned materials going forward. However, I understand that any printed materials that included my testimonial that had already been distributed will not be retrievable. Furthermore, I understand that previous online posts, although deleted, may still appear in some searches.

My Testimonial

Thanks for sharing!

Thank you for your willingness to share! By sharing, you give hope to others who read your story.

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Contact Us

Headquarters: 202 Beaver St. 3rd Fl., Sewickley PA 15143

(888) 200-9746

Fax: (412) 741-5171

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Headquarters:

202 Beaver St.

3rd Fl.

Sewickley, PA

15143

Fax:

412.741.5171

FAX

If you're experiencing a mental health emergency, dial 

911

370 Iroquois Place

Beaver, PA 15009

 

200 E. North Street

Butler, PA 16001

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393 Adams Street

Rochester, PA 15074

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267 E. Beau Street

Washington, PA 15301

5475 William Flynn Hwy. Ste. 304

Gibsonia, PA 15044

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2040 Washington Rd.

Pittsburgh, PA 15241

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Samaritan Counseling Center of Western PA, Inc. is classified as a 501(c)3 nonprofit. EIN: 25-1425598. Contributions are deductible to the fullest extent of the law. A copy of the official registration form and the financial information of Samaritan Counseling Center of Western PA can be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania: 1-800-732-0999.

95% out of 100

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© 2018-2024 by Samaritan Counseling, Guidance, Consulting

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