Scheduled Appointment

Welcome, to confirm your attendance please complete our Appointment Confirmation Form. Submission will inform the doctor of your arrival to the location specified on the department letter that was mailed.

Parent/Guardian Name

Who will be attending to the child during the appointment?

First Name

Last Name

Child/Claimant Name

Who is the claimant of the appointment?

First Name

Last Name

Date of Birth

Child/Claimant's Birthday?

YYYY

Scheduled Appointment

What is the Date and Time of your appointment?

Comments

Anything you would like the doctor to know before your appointment?

More Information

For an overview of the process and what to expect please visit our DES/DDS page for further details.

INFO ▸

➤ location

Phoenix/Tucson, AZ DES Office

Office Hours

By Appointment Only

☎ Contact

Disability Determination Service PO Box 30733 Salt Lake City, UT 84130-9838

Phoenix Office 602-771-7100 / 1-800-352-0409 Tucson Office 520-638-2000 / 1-800-362-6368

DISCLAIMER

Our office cannot respond to claimant/parent questions. If there are concerns or rescheduling needs please direct your requests to the department/case manager in charge.

SSA/DES/DDS (DDSA)

Scheduled Appointment

More Information

➤ location

Phoenix/Tucson, AZ DES Office

Office Hours

By Appointment Only

☎ Contact

Disability Determination Service PO Box 30733 Salt Lake City, UT 84130-9838

Phoenix Office 602-771-7100 / 1-800-352-0409 Tucson Office 520-638-2000 / 1-800-362-6368

DISCLAIMER

Our office cannot respond to claimant/parent questions. If there are concerns or rescheduling needs please direct your requests to the department/case manager in charge.

Empower To Thrive.