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Complete Your Medical History

To provide you with the best care possible, we need to fully understand your medical history. By filling out this form, you help our expert team at Innova Regen Cells in Puerto Vallarta design a customized treatment plan tailored to your needs.

Your responses about any pre-existing conditions, medications, allergies, and past treatments are crucial for ensuring your safety and maximizing the effectiveness of your stem cell therapy. The more detailed you are, the better we can serve you.

As a special offer, once you complete and submit the form, you’ll unlock a free, personalized consultation with our stem cell therapy specialist, Dr. Alejandra Ascencio, MD. This is an opportunity to receive expert insights and personalized advice on how stem cell therapy can benefit your unique condition.

After reviewing your form, our medical team will ensure everything is in order. If any additional details are needed, our medical coordinator will contact you to clarify your responses and ensure the smoothest process possible.

Your health is our priority.

Take the first step towards improving your health by completing the medical form now.
We’re here to support you every step of the way and look forward to providing you with world-class care.