Health Information Form

Complete the Health Information Form

Complete the Health Information Form and get CentAccount Rewards

Three ways to complete the health risk screening:

  • Click the link above; Or…
  • If you have a member portal account login and click on the link to “Health Needs Screening” Or…
  • Call Magnolia Member Services at 1-866-912-6285

What is the Health Information Form?

Magnolia wants to make sure your medical home supports your condition.  We can help you manage your care and be healthy.  The first step is for Magnolia to know what health conditions or special health needs you may have.

Why should I complete the form?

The Health Information Form helps Magnolia know how best to help you!  You can also get CentAccount rewards for completing the form!