Request Appointment

Download Magnolia Personalized Medical Intake Form.

Please fax all forms to 844-863-5986. Do not send through email.

Medical Intake 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? Use this form to get in touch. Your requests are confidential and secure.

Request Appointment

Please, request an appointment today. We will follow with the request to accommodate you at the best time possible based on openings. For best outcome please book 2 weeks in advance. Thank you!

Office Hours:

Wed- Saturday 11-7 pm
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

Privacy Policy

Medicinary

We accept all major credit/debit cards and health saving cards

Office Hours:

Wed- Saturday 11-7 pm
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

Privacy Policy

Medicinary

We accept all major credit/debit cards and health saving cards