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Candidate Form

If you are a “candidate,” it means your condition can be treated positively with orthobiologic injections (i.e. stem cells or PRP).  There is no obligation to any procedure if you fill out this form. 

What happens when I fill out the form?

Your assigned Medical Education Consultant will contact you to answer your questions.

 You will have the opportunity to opt for a free 10 minute consultation by one of our Board-Certified Physicians.

You will gain access to our full Regenexx eLibrary.

 If you are deemed a good candidate, you can choose between telemedicine or in-person visits with your doctor at our CV-19 Max Protection Zone.

Getting back to what you love starts with a form.

Just like 107,450 others since 2005, the first step to recovery without surgery begins with this simple form. 

Orthopedic pain is hard to live with. And because orthopedic conditions are often progressive, the longer you wait means the more pain this condition might bring you. When does it end?

How is it affecting your life? What kind of life might your condition stop you from living? Listen to Pam’s testimonial of her recalling how she felt as she danced for the first time in years after her struggle with the chronic condition, craniocervical instability.

Be seen in our CV-19 MAX Protection Zone clinic or via secured telemedicine portal for virtual visits. Learn More