Skip to content
In-Person / Virtual Meeting Request
We are currently updating our form. Please email us at info@acdhh.az.gov for any questions or request to meet with a staff.
*
1.
Name
(Required.)
*
2.
Email address
(Required.)
*
3.
Phone or VP Number
(Required.)
*
4.
Which service do you need assistance with?
(Required.)
Deaf Services
Hard of Hearing Services
DeafBlind Services
Telecommunications
Family and Youth Services
Interpreter Services
General Information
*
5.
Which meeting type do you prefer?
(Required.)
Virtual (via Zoom or Google Meet)
In Person Meeting
VP Call
Phone Call
Please click the submit button below, and a staff member will be in touch with you soon to schedule.
Thank you!