Download Magnolia Personalized Medicine Forms
Please fax all forms to 844-413-9024. Do not send through email.
Medical Intake Form
Health Information Sign Form
Thank you for choosing us:
First appointment is usually 1 hour because we have to review the medical history and discuss what you expect to achieve health wise.
- Please download and complete the Medical Intake forms prior to your appointment.
- or medical aesthetics patients please complete this form.
Have any questions or would you like to make an appointment? Use this form to get in touch. Your requests are confidential and secure.
Please visit the Medicinary page for Alternatives to Drugs. Current patients receive 10% off of purchase.
By appointment only.
Foreign Languages Welcome:
Spanish, German, Italian, French, Portuguese
17505 N 79th Ave
Glendale AZ 85308