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Samaritan's Touch
 

Application + Forms

 
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Patient Application

Self Declaration

Self Declaration – No Income

Statement of Support

Form 4506-T EZ

Form 4506-T EZ Spanish

 
 

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Each year, hundreds of outstanding volunteers help us provide comprehensive free health care to our community.  

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Samaritan's Touch Care Center
3015 Herring Avenue,
Sebring, FL, 33870,
United States
(863)471-1870 wecare@samaritanstouch.org
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Phone: (863)471-1870 • Fax: (863)382-3324 • 2306 Hope Circle. Sebring, Florida 33870


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