Enrollment

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. 

• 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 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.