Request an Appointment

Thank you for your interest in North Country HealthCare. We are happy to assist you in scheduling an appointment. 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.

• When submitting an appointment request form, please do not send detailed personal or medical information. North Country HealthCare takes every step possible to keep your information private and sharing too much 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.

COVID-19 VACCINE REQUESTS

Please do not use this form to submit a COVID-19 vaccine request. Follow the links shown below.

• COCONINO & MOHAVE COUNTIES – At this time, all COVID-19 vaccine appointments at North Country HealthCare are booked.  If you would like to be added to the North Country HealthCare wait list, please submit a vaccine appointment request. You can also schedule an appointment at the Statewide Vaccination Site at the State Farm Stadium in Glendale.

• ALL OTHER COUNTIES – If you live in Apache, Gila, Navajo or Yavapai County, please submit a vaccine appointment request. We also encourage you to visit your county health department website for current information and recommendations related to COVID-19 and the COVID-19 vaccine:
  • Apache County
  • Gila County
  • Navajo County
  • Yavapai County

Current Patient