Schedule an Appointment

Take the first step toward better health. Please fill out this form and click the submit button. A friendly scheduler will contact you to schedule your appointment.**

In an emergency or mental health crisis call (928) 475-0911 or (928) 475-2388 immediately.

**Online appointment requests must be submitted two weeks prior to the appointment date you are requesting. Appointment requests are collected once daily, Monday through Friday, 8:00 am to 5:00 pm. If you need to schedule an appointment sooner, please call (928) 475-1499.

patient_registration

Telephone

928-475-1400

Address

103 Medicine Way Road, Peridot, AZ 85542

Name*
Phone
Appointment Type
Preferred Doctor
Preferred Date*
MM slash DD slash YYYY
Preferred Time
Name
This field is for validation purposes and should be left unchanged.