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Is Rejuvenare’s stem cell therapy right for you?

  • Name
  • Phone
  • Email
  • Age
  • Height
  • Weight
  • Which of the following do you or your guest currently experience?
  • Are you currently receiving any of the following treatments?
  • On a scale of 1-5 (5 being the highest, 1 being the lowest), how important is it for you to correct your condition?
  • Within which of the following timelines are you looking to correct your health issues:
  • Please provide us with your brief medical history:
  • What symptoms are you currently experiencing? (Please describe)
  • List all the medicines you are currently taking and the dosage.
  • Please tell us, in a "PERFECT WORLD", what is it you would like to improve that bothers you the most?
  • Would you like to be contacted within the next 3 days to design a treatment plan that will fit your lifestyle?
  • Stem Cell Therapy is not currently covered by insurance in the United States. The cost per procedure averages $28K. That being the case, would you be interested in financing your procedure if such option was available?

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