You are requesting a user account to access the Arizona Department of Health Services Bureau of Public Health Statistics Abortion Reporting Application.
Step 1: Select Your Facility. The Facility will be the name of the facility whose abortion reports you will be submitting. After selecting your Facility then press the "Continue" button. Please email us at AZ_ARS@azdhs.gov if your Facility is not in the selection list.
Step 2: Provide all information requested. The Email address that you provide must be a vaild Email address where you receive Email.
Step 3: Submit the registration request. After your information is validated, you will receive an email to the email address you have provided with further instructions.
Please Select Your Facility
All fields are required.
Your request has been accepted.
You will recieve an email to the email address you provided after your account has been activated.
Sorry, but your request can not be processed at this time. If you wish to report this error click "Report Problem". The error message is below.
Password does not match with our records for this user. Please try again.
Please select three challenge questions from the list below. The selected challenge questions will be used to verify your identity when you request a password reset of your Health Services network login account. After you have selected the three questions, please press the continue button.
Please provide the answers for the challenge questions from the selection you have made. After you have provided the answers and an outside DHS email address, please press the complete button.
Must Select Three, (3) Questions Before You Can Continue
Must Provide an Answer For All Three, (3) Questions