STEM CELL TRANSPLANTATION

 

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MEDICAL QUESTIONNAIRE       

 

* Entry required
User Name

*
Email Address *  Age *  Sex
Height *  Weight *  Ideal weight
DESCRIBE YOUR PRESENT ILLNESS:

 THIS INFORMATION IS MANDATORY!


DESCRIBE ALL DISEASES SINCE BIRTH THAT YOU HAVE SUFFERED FROM
Cardiovascular
Pulmonary
Gastrointestinal
Urinary
Gynaecological
Neurological
Psychiatric
Endocrine
Bones, Joints&Muscles
Immunological
Cancer
Eyes&Ears
Skin
Childhood
DESCRIBE ALL TREATMENTS AND OPERATIONS THAT YOU HAVE HAD FOR THE DISEASE(S) ABOVE AND THE RESULTS (YOUR BODY'S RESPONSE):
WHAT MEDICATIONS ARE YOU TAKING NOW - ALSO NON-PRESCRIPTION:
DESCRIBE ALL ALLERGIES TO MEDICATIONS, CHEMICALS OR FOOD:
DESCRIBE INTAKE OF ALCOHOL, "STREET" DRUGS AND SMOKING HABIT:
Recent vaccinations or serum therapy:
Recent diagnostic or therapeutic x-ray or radioisotope:
DESCRIBE ANY CHRONIC INFECTIONS THAT YOU HAVE HAD, dental, throat, sinuses, kidneys & bladder, pelvic, intestine&colon, skin etc.:
Your Remarks:

 

 

 

Our know-how, based on 25+ years of experience, permits us to offer you in this web site  

  • free advice about the usefulness of stem cell transplantation as a therapy of illness(es) that you, or your loved ones, suffer from, which you could get nowhere else on the Web, (click on "How to get SCT treatment" on the MENU bar, if you wish to learn more about this free service) 

    (Please, beware that stem cell transplantation is not a 'wonder' treatment for all diseases known to mankind, and so it may be of no use in your particular case.)

 

as well as a possibility to

  • order stem cell transplants manufactured by our company  for actual patient treatment,

    with worldwide delivery.

(Long distance consultation will soon be available via telemedicine link as well.)

Whenever you contact us on this web site in order to 

  • get such a free advice via our online questionnaire, 

we will respond promptly.

Besides that we assign each prospective client an ID code, so that there is no need to use the patient's name in future communications, or on vials containing the patient's stem cell transplants. The combined effect of such steps is that sensitive medical data will not get into the wrong hands.

 

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Copyright Stem Cell Transplantation Ltd.
Updated: August 2009