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Health Assessment Form

Health History & Declaration

Please fill out the following form
prior to ordering from our shop.

Do any of your immediate family members have a history of the following conditions? Select all that apply.
Have you had any of the following surgeries?
Do you have any of these Medical Conditions? (Check all that apply)
Upload File

Shop Online

Mobile Labs

IV & Vitamin

IV Parties

NAD+ Infusions

BrainTap

Esthetics

Ozone Therapy

BUSINESS HOURS

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Serving all parts of the Valley of the Sun
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Hours of Operation:
Monday – Sunday:

8am – 8pm


For all after hours calls, there is a $70 additional fee for each service.

OUR PRODUCTS

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  • NAD+ CALL

  • MEGA MYERS COCKTAIL

  • MYERS COCKTAIL

  • ROYAL FLUSH

  • REVIVE

  • REHYDRATE

  • BIOTIN BEAUTY PACKAGE

  • DETOX PACKAGE

Disclaimer: The offerings on this website have not undergone assessment by the Food and Drug Administration. They are not aimed at diagnosing, mitigating, remedying, or warding off any illness. The content on this site is purely for educational purposes and should not be taken as medical guidance. We strongly advise seeking advice from a medical professional before initiating any therapeutic or treatment regimen. References or mentions of therapies are strictly for promotional intentions and do not correspond to genuine products.

NXT LEVEL MOBILE IV © 2023. All Rights Reserved.

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