REQUEST AN EVALUATION

Start Your Evaluation

Share your information and our team will review your case. Qualified patients receive a protocol outline and confirmed pricing after review.

AFTER YOU APPLY

What Happens After You Apply

1

Your case is reviewed against our treatment criteria, with physician oversight of the clinical screening.

2

If your case looks appropriate, a member of our team contacts you to go through it in more detail. Most questions are answered at this stage.

3

Where a case requires direct physician input, we arrange a consultation with Dr. Gutiérrez.

4

Pricing is confirmed in writing before you commit to anything.

Not every case is accepted.

Prefer to talk first?

Email info@altivacellulartherapy.com

About You

Please complete every field above so we can review your case.
Your condition 0%

What are you seeking treatment for?

This decides which questions we ask next.

Please choose one option to continue.

Which of these describes your condition?

Choose every one that applies.

Please choose at least one answer, or use Other to describe it.

How long have you had this condition?

Please choose one answer to continue.

Have you been diagnosed by a doctor?

Please choose one answer to continue.

Do you have imaging or lab work available?

You will be able to upload these at the end if you have them.

Please choose at least one answer. Select None available if you have nothing yet.

What have you already tried?

Choose every one that applies.

Please choose at least one answer. Select Nothing yet if you have not tried anything.

Do you currently take any medications or supplements regularly?

This one is optional. Leave it blank if you do not have the details to hand.

Please choose one answer to continue.

Are you currently taking any blood thinning or anticoagulant medication?

For example warfarin, Eliquis, Xarelto, Plavix, or daily aspirin.

Please choose one answer. Not sure is a perfectly good answer.

Do any of these apply to you?

This helps us determine whether treatment is safe for you.

Please choose at least one answer. Select None of these if none apply.

What is your sex?

We ask because it changes which safety questions apply.

Please choose one answer to continue.

Are you currently pregnant or breastfeeding?

Are you currently on hormone therapy?

Please answer both questions to continue.

Date of birth

Age affects which protocols are appropriate.

Please enter your date of birth to continue.

Have you had stem cell or regenerative treatment before?

Optional. You can skip this one.

Phone or WhatsApp

Your case is reviewed before any protocol or pricing is discussed. If it looks appropriate, a member of our team will contact you to go through it.

Please enter a phone or WhatsApp number to continue.

Country of residence

It tells us your time zone and what travel would involve.

Please enter your country of residence to continue.

When are you hoping to be treated?

Optional. You can skip this one.

What is your most important question for us?

Optional. Whatever you most want answered when our team replies.

Upload your records

If you have recent imaging, lab results, or medical records, uploading them now helps our team review your case faster. Optional.

    Your records are reviewed confidentially by our clinical team only.

    One last thing

    Please read and confirm before you send your case to our team.

    COFEPRIS Licence No. 26-TR-02-104-0112

    Please tick the consent box so we are allowed to review your information.

    Your information is private and will only be reviewed by our clinical team.

    Questions Before You Submit?

    Email us. We're happy to answer general questions before you share your health details.

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