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Clinical Liaison Form

  1. COVID-19 EFFORTS - CORRECTIONAL HEALTH SERVICES

    COVID-19 Efforts: To prevent or mitigate the potential spread of COVID-19 in any of the Maricopa County Sheriff Office (MCSO) jails, proactively, Maricopa County Correctional Health Services (CHS) is following the precautions recommended by the Maricopa County Department of Public Health and the CDC. View precautions and live updates on our COVID-19 dashboard.

  2. CHS Clinical Liaison Contact Form

    The Correctional Health Services (CHS) Clinical Liaison is a non-emergency service for sharing health-related information. During regular business hours, Monday - Friday, 8:00 AM - 5:00 PM, your message will be forwarded to clinical staff where the patient is housed for follow-up.

  3. Submitter Information

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  4. Patient Information

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