Top Left Menu

  • (520) 432-5383
  • Patient Portal
  • Home
  • For Patients
    • Café Menu
    • Patient Portal
    • Registration Packet
    • Patient Guide
    • Surgery Preparation
    • Patient Satisfaction
    • Social Media Policy
  • Medical Services
    • 24-hour Emergency Services
    • Acute Hospital Care
    • TeleMedicine
    • Cardiopulmonary
    • Gastroenterology
    • Diagnostic Imaging
    • Laboratory
    • Out-Patient Surgery
    • Physical Therapy
    • Home Health
    • Work Well – Occupational Medicine
  • CQCH Primary Care Clinics
    • CQCH Bisbee Primary Care Clinic
    • CQCH Douglas Primary Care Clinic
    • CQCH Palominas Primary Care Clinic
  • Provider Directory
  • Resources
    • News & Events
    • Careers
    • Health Matters
    • Recipes from Chef Arthur
    • Advertorials
    • Community
    • Pricing Transperancy
  • About
    • Our Mission, Vision & Values
    • This is Bisbee
    • CQCH Phone Directory
    • Management Team
    • Auxiliary Volunteers
    • CQCH Golf Tournament
    • Giving Back
  • Contact
  • Donate Now!
  •  
  •  
  •  
  •  
  •  
  •  
Logo

Copper Queen Community Hospital

  •  
  •  
  •  
  •  
  •  
  •  
Logo
  • Home
  • For Patients
    • Café Menu
    • Patient Portal
    • Registration Packet
    • Patient Guide
    • Surgery Preparation
    • Patient Satisfaction
    • Social Media Policy
  • Medical Services
    • 24-hour Emergency Services
    • Acute Hospital Care
    • TeleMedicine
    • Cardiopulmonary
    • Gastroenterology
    • Diagnostic Imaging
    • Laboratory
    • Out-Patient Surgery
    • Physical Therapy
    • Home Health
    • Work Well – Occupational Medicine
  • CQCH Primary Care Clinics
    • CQCH Bisbee Primary Care Clinic
    • CQCH Douglas Primary Care Clinic
    • CQCH Palominas Primary Care Clinic
  • Provider Directory
  • Resources
    • News & Events
    • Careers
    • Health Matters
    • Recipes from Chef Arthur
    • Advertorials
    • Community
    • Pricing Transperancy
  • About
    • Our Mission, Vision & Values
    • This is Bisbee
    • CQCH Phone Directory
    • Management Team
    • Auxiliary Volunteers
    • CQCH Golf Tournament
    • Giving Back
  • Contact
  • Donate Now!

New Patient Forms

Click below on the links for new patient forms:

New Patient Sheet 1

New Patient Medical History

Pre-Anestesia Testing Questionnaire

Patient Portal

Patient Portal

Access your medical records, appointments, billing, and more.

Enter

Quickcare

Quickcare

8 a.m. to 5 p.m. on Saturdays.
No appointments are necessary.

CQCH Palominas RHC

10524 East Highway 92
520-366-0300

For Healthcare, The Future Is Here.

See current opportunities to join the Copper Queen Community Hospital team.

Careers

Quick Links

  • TeleMedicine
  • Douglas Medical Complex
  • Careers
  • Patient Portal

Contact Info & Directions

101 Cole Ave., Bisbee, AZ 85603
Tel: 520.432.5383 • Fax: 520.432.8018

Contact Us

© 2015 Copper Queen Community Hospital

Privacy Policy & Terms of Use