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Member Forms
Member Forms
Mercy Care Long Term Care has provided forms on our website that our members may find useful. You can download any of these forms at no cost.
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Supporting Information
- Regulatory
- Privacy notice
- Performance Indicators
- Contractor Survey Results
4350 E. Cotton Center Blvd.,
Bldg D, Phoenix,
Arizona 85040
Member Services
7 a.m. to 6 p.m. Monday-Friday
602-263-3000,
Toll-free 1-800-624-3879
(TTY/TDD)
Toll-free: 1-866-602-1982
If you or a family member has a medical emergency, dial 911.