Enrollment

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You Can Enroll Online Or Enroll In Person

Enrollment is easy with Daisy Family Health because you have two options to enroll: online or in-person.  

Enrolling online is a convenient and easy way to start the process. 

• We are more than just primary care!
• It will ask you a few questions initially
• The rest of the paperwork will be sent to you. 

That’s It!  Please make sure to bring a photo ID, the card you will use for monthly payments, any medical records you would like us to have.

Membership is limited so we encourage you to secure your spot today.  

Give us a call if you have any problems (602) 314.6960

Enrolling in-person may be a better option for you if still have questions or would like to meet our provider first. 

To enroll in-person, simply schedule an Enrollment Appointment at the clinic by using the form below. 

When you come in we will need to collect the following basic information:

• Name, Address, Email, Phone Number, Date of Birth, Gender
• Medical History
• Photo ID (license, state id, passport)
• Payment Info

If you have questions for our staff feel free to bring them!  

We look forward seeing you soon.

If you do not hear from us, please give us a call at (602) 314.6960