Enrollment

Becoming a Member

You Can Enroll Online Or Enroll In Person

Enrolling Online

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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. 


  • Name, Address, Email, Phone Number, Date of Birth, Gender
  • Add your payment info and you’re done!


That’s It!  Please make sure to bring a photo ID.


We will get your medical history when you come in. 


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

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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.