Compliments and Comments

We want to hear from you!

Thank you for choosing Desert Senita as your healthcare provider. We are honored to serve you and your family.

If you have a suggestion or concern that you would like for us to review, please complete this form:

Date of the service

First Name

Last Name Here

Phone (No International Phone Numbers)

Comment/ Compliment

How do you believe we could solve this situation?

Would you like to speak to a manager?

When is a good time to contact you?

If you wish to print the form:

Download English Form

Download Spanish Form

You may hand it to a staff member and ask them to submit, or
You may mail it to us at: Desert Senita Community Health Center, Quality Improvement, 410 Malacate Street, Ajo, Arizona, 85321, or
Email to: [email protected]

If after working with our Health Center Staff, your concern has not been resolved and you wish to submit a report, please visit Lighthouse Services or call (855) 400-6002.