Request an Appointment

NOTE: If your child is experiencing a life-threatening emergency, call 911 immediately. If your child needs urgent care, go to your local urgent care center. Find a Phoenix Children's Urgent Care Center near you.

This form is not to be used in situations where care is needed sooner than three business days.

To make an appointment by phone, please call us at (602) 933-1000.

Patient Information
Parent/Guardian Contact Information
Appointment Information
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