Mesa Employee Health & Wellness

Home Forms


New Patient Registration Page
Existing Patient Login Page

You can schedule an appointment by calling: 480-644-WELL (9355).

HealthCare Support Portal facilitates better communication with your physician’s office by providing convenient 24 x 7 access from the comfort and privacy of your own home or office. Please register to access the HealthCare Support Portal to schedule appointments. Please note that it may take up to 24 hours for initial registration to complete and provide you with login information.

New Patient Forms
If you are a new patient at the City of Mesa Health & Wellness Center, please be sure to download, print and complete the forms below, as needed.

Download New Patient Form
Download Code of Conduct
Download Medication List
Download PHI Disclosure
Download Consent for Treatment
Download Patients Rights and Responsibilities