Request Appointment
Download Magnolia Personalized Medicine Forms
Please fax all forms to 844-413-9024. Do not send through email.
Medical Intake Form
HIPPA Form
Health Information Sign Form
Thank you for choosing us:
Initial visit is 90 minutes, follow up consultations are 60 minutes, 45 minutes.
- Please download and complete the Medical Intake forms prior to your appointment.
- You may bring the completed paperwork with you for your appointment or fax it
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 choices
Open Hours
By appointment only.
Foreign Languages Welcome:
Spanish, German, Italian, French, Portuguese
Location
17505 N 79th Ave
Glendale AZ 85308
Suite 213
Call Us
623-734-2473
Fax: 844-413-9024
Open Hours:
By appointment only.
Foreign Languages Welcome:
Spanish, German, Italian, French, Portuguese
Location
17505 N 79th Ave
Glendale AZ 85308
Suite 213/I
Call Us
623-734-2473
480-233-4373
Fax: 844-413-9024