Request an Appointment

Thank you for your interest in North Country HealthCare. We would be happy to care for you and assist you in scheduling an appointment with one of our expert providers. Please allow up to two business days for a response. If your need is more urgent, please contact us by phone. The phone numbers are listed to the right.

Current Patients (link to portal)

New Patients

When submitting an appointment request form, please do not send detailed medical information. North Country HealthCare takes every step possible to keep your health history private and sharing too much information via email may put your privacy at risk.
If you send a medical related question via email, we will not respond. Please contact North Country HealthCare directly by phone.

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First Name *

Last Name *

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Please share any additional details you would like us to know about the type of appointment you need.

By checking this box, I understand this is not a secure or encrypted means of communicating with North Country HealthCare. *

By checking this box, I understand that it will take up to two business days to receive a response from North Country HealthCare. If this is an urgent request, I will contact the location nearest me by telephone. *

By checking this box, I understand that making contact with North Country HealthCare through our website does not create a patient/medical provider relationship and does not make you a patient of North Country HealthCare. *

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Call Us Today

Ash Fork

Bullhead City

Flagstaff - 4th Street

Flagstaff - University Ave

Grand Canyon

Holbrook

Kingman

Lake Havasu City

Payson

Round Valley

Seligman

Show Low

St. Johns

Williams

Winslow

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