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Flagstaff City Election November 2023

The City of Flagstaff is conducting an election this fall with the Election Day November 7, 2023. There will be no polling places on Election Day. All registered voters in the City of Flagstaff, effective October 10, 2023, will receive a ballot via mail from the County Elections Department. The last day to register to vote for this election is October 10, 2023. Ballots will mail and early voting begins on October 11, 2023.

The November election ballot will contain 19 city charter amendments proposed by Mayor & Council for voter consideration and one referendum (Proposition 480) validated by the City Clerk seeking to overturn Mayor & Council’s recent support for rezoning approximately 98 acres of land to support construction of a new hospital at 1120 W Purple Sage Trail in Flagstaff.

A list of the 19 proposed city charter amendments and details related to the rezoning case referendum, Prop 480, can be found at

The Chamber of Commerce Board of Directors has supported the request by our Flagstaff hospital to rezone the land at Purple Sage Trail for several years, and spoke in favor of the rezoning case several times this past spring before the city’s Planning & Zoning Commission and during public comment at three City Council meetings. This rezoning case passed Mayor and Council on votes of 6-1 and 6-0 in June 2023.

For more than 50 years, Flagstaff Medical Center has served our community well, and now it is time to improve the quality of care well into the future for these reasons and more.

  • The hospital has outgrown the current FMC campus. NAH cannot expand or retrofit to accommodate the future health care technologies and innovations our community will need in the coming years and decades.


  • The hospital’s proposal for a new facility will be a significant investment in the next generation of health care, which will ensure Flagstaff has the highest-quality, state-of-the-art health care close to home.


  • The future hospital and ambulatory care center will be a benefit to:

– Patients seeking integrated, holistic health care options – from preventative, primary care needs to highly specialized, tertiary care.

– Physicians and nurses who want to work in a space that allows them to provide the best care available to their patients and community.

  • The plan put forward by NAH will lead to:

- Continuous advances in health care technologies to Flagstaff

- Better care for all northern Arizona residents including neighboring tribal nations

- Potential affordable housing options on the existing NAH campus

Flagstaff and northern Arizona residents deserve to have access to the highest-quality health care, a YES Vote allows the new hospital to be built.

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