We’d love to know how you found El Mirage Emergency Room! Your feedback helps us serve our community better and reach more patients who need quality, compassionate care.

Take a moment to fill out the form below and you’ll be entered into our monthly drawing for a gift card giveaway—just our way of saying thank you. Prizes vary each month, so check back often!

💡 It only takes a minute—and you could be our next winner!

How did you hear about us?

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Have you or a family member been a patient?(Required)
How did you hear of us?(Required)
Choose all that apply.