480-789-7000 | P.O.Box 17779, Fountain Hills, AZ 85269


Please print and fill out the appropriate forms and bring them with you to your appointment.

New Patient Forms
Consent Forms
Administrative Forms


Contact Us

In emergency situations always call 9-1-1. If you have any questions about how to complete these forms, call the Wassaja Memorial Health Center at 480-789-7890.