Cell Treatment in Thailand Application Form

Thank you for your interest in having regenerative medicine and stem cell therapies in Thailand. Unfortunately not everyone is a candidate for stem cell treatments.  Approximately 20% of all Inquiries are not approved. To help our doctors understand your needs and to make an accurate medical diagnosis. We request all potential candidates for Stem Cell Treatments Submit their medical histories and lab results (Blood work,MRI,CT Scans,PET Scans etc) to be analyzed and accepted into the treatment.

Please complete the medical application form ( below ) and include any supporting documents that will help our doctors better understand your current condition and needs.