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Medical History Form

***For all joint and/or spine treatments, please send the corresponding imagery (X-rays and/MRI). Without the corresponding imagery for your condition, the lab cannot accurately recommend treatment and will cause a delay in response time.

Drop files here or

Doctor recommending treatment (if applicable)

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South America Stem Cell Treatments
We give patients a better overall lifestyle rather than treating one condition at a time so they can live happier, healthier lives. Call us for a complimentary consultation.
1 (844) 387-7802