Request Health Information

If you or the child about whom you have a question live in Arizona, you can also call us at (602) 933-1400. Or you can submit your contact info using the form below, and we'll call you back!   

If you and the child about whom you have a question do not live in Arizona, visit the following directories:

• Medline Plus - directory for consumer health libraries
• Eparent - information for parents of children with disabilities
• Organized Wisdom - a portal to health information

Request for health information form

First name
Last name
Date of birth
Address line 1
Address line 2
City
State
Zip code
Home phone
Work phone
Cell phone
Fax
e-mail
Child's name
Child's date-of-birth
Child's sex	- select one -MaleFemale
Best time to call you
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