Our front office can help you identify which forms you need to fill out.  For help or any questions, please contact our front office with the information to the left.

Thank you for choosing Desert Senita Community Health Center.  Interested in completing your new patient paperwork prior to your appointment?  Please print, complete, and bring to your appointment.

• NEW Patient Packet | Spanish Version
• Arizona Health Information | Spanish Version

For new pediatric patients under the age of 13, please also complete the forms below:

• Pediatric Health Questionnaire | Spanish Version
• Consent for Minors

For new Dental Patients, please print, complete, and bring to your appointment.

• Dental HOI Receipt
• Dental Patient Package

Need to send your Medical Records from a specialist to Desert Senita?  Please fill out this form and submit to our Front Office:

Release with DSCHC Information | Spanish Version

Need to get your own Medical Records or give family members access to your records?  Please fill out this form and submit to our Front Office:

Release without DSCHC Information | Spanish Version