Arizona Department of Health Services Bureau 2025

Get Form
Arizona Department of Health Services Bureau Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify Arizona Department of Health Services Bureau in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Working on documents with our feature-rich and intuitive PDF editor is easy. Adhere to the instructions below to fill out Arizona Department of Health Services Bureau online easily and quickly:

  1. Log in to your account. Sign up with your credentials or register a free account to try the service prior to upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Arizona Department of Health Services Bureau. Easily add and underline text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or remove pages from your document.
  4. Get the Arizona Department of Health Services Bureau completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to rapidly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Contact DES regarding Nutrition, Cash, and Medical Assistance Benefits Chat or email: Available from our Health-e-Arizona Plus website where you may also submit your application. Phone: 1-855-432-7587 or 1-855-HEAplus. Office Locations: find the nearest office with the DES Office Locator.
ADHS collects hospital discharge records for inpatient and emergency department visits from all Arizona licensed hospitals. These data include deidentified and identified demographics, facilities, discharge diagnoses, and providers.
The Arizona Department of Health Services promotes and protects the health of Arizonas children and adults. We strive to set the standard for personal and community health through direct care, science, public policy, and leadership.
Call us at 1-888-788-4408 (TTY/TDD:711). You can also view more information about Arizona Complete Health-Complete Care Plan in our Member Handbook.
Jennie Cunico AZ Dept.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

Arizona Department of Health Services Office of the Director. 150 North 18th Avenue. Phoenix, Arizona 85007. Phone: (602) 542-1025. Arizona State Hospital. 2500 East Van Buren Street. Phoenix, Arizona 85008. Phone: (602) 244-1331. Public Health Prevention. 150 North 18th Avenue. Phoenix, Arizona 85007. Phone: (602) 542-1025.
Contact Us: AHCCCS Online: .healthearizonaplus.gov. Phone: 1.855.HEA.PLUS (432.7587) AZ Relay Service (hearing/speech impaired): 1.800.842.6520. *Calls are answered Monday through Friday, 8 a.m. 5 p.m.

Related links