New Client Paperwork

Revitalize Weight Loss & Wellness Center offers our client form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.
Revitalize Weight Loss & Wellness Center Weight Loss Guarantee

OFFICE HOURS


Monday
7:20am - 6:00pm


Tuesday
12:20pm - 6:00pm


Wednesday
7:20am - 2:00pm


Thursday
12:20pm - 6:00pm


Friday
7:20am - 2:00pm


Saturday
8:00am - 3:00pm

Revitalize Weight Loss & Wellness Center
15905 South 46th Street #110
Phoenix, AZ 85048
(480) 435-3557