Applications
Provider
Thank you for your interest in becoming a contracted provider with the Arizona Foundation for Medical Care. However, at this time, we are not accepting new physician, allied or behavioral health provider applications.
If you would like to be placed on a waiting list to be contacted in the event the Arizona Foundation opens the network for your specialty and area, please complete the form below.
If you would like to speak with a Network Management representative, please contact us at 602-252-4042 or 800-624-4277, or click here to contact us via email.
Wait List Request
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