Application form for Experimental
Adult Stem Cell Therapy

This information is confidential and will help speed up the process to assist the Doctor concerned to evaluate your application; further personal information will be required by the doctor at a later date if the application meets the criteria.

Please note: All fields marked * must be completed before submitting, otherwise your registration will not go through.

BY FILLING OUT THIS APPLICATION YOU WILL ALSO BE ENROLLED AS A HONORARY MEMBER OF THE ASCF
 

Name: *
Email: *
Address 1: *
Address 2:
City: *
State: *
Post code: *
Phone: *
I am suffering from: *
How did you hear about the trials: *
     
We have doctors in various areas of Australia and New Zealand performing stem cell transplants. Your options are below.
 
Sydney Melbourne Gold Coast Christchurch
most degenerative
diseases and cartilage
cartilage regeneration only most degenerative
diseases and cartilage
most degenerative
diseases and cartilage
     
Preferred area: *
     
I was introduced by: *
Medication I take: *
Are you taking stem cell enhancing supplements? *
  yes/no/send info  
Are you following our prevention plan? *
  yes/no/send info  
Comments:

 

SPECIAL NOTE

These Adult Stem Cell transplants are only trials where the results will be published by the doctors in the appropriate medical journals at a yet to be determined future date. Obviously no names of patients are published.

The Doctors concerned have stated they believe no harm can come from these transplants but conversely cannot guarantee any outcomes. We are all different and we all can react differently and that is why these trials have been set up in the first place, so as we can find out what outcomes had positive results versus what results had little or no effect.

In most cases charges with doctors involved are not claimable on Private Medical Insurance or Medicare. Adult stem cell therapy is not available to patients with tumors.


By completing this application you give permission to the Adult Stem Cell Foundation to act on your behalf and agree that any research data obtained can be used for publication, conditional to your privacy being maintained. You will be required to regularly update your Progress Profile (which will be forwarded to you) so as your results reflects an accurate record of your progress to date.
You give permission for selected members of the ASCF to contact you to discuss all aspects of the ASCF Prevention Plan and any other area of mutual interest.


By clicking the 'send application' button below, you state that you have read, understood and agree to the terms as mentioned above.

 

stem cell therapy ebook

  • adult-stem-cell-foundation-information.html 

 adult stemcells

Finger re-grown with use of stem cells.
Watch the movie


 

Perry Cross says:
I Can Now Breathe On My Own' 


alzheimers and stemcells

Fighting Alzheimer's Disease using stem cells


recovering eye sight with stem cells

Recovering lost eye sight using stem cells


2.1Dental pulp derived stem cells
2.2Induced pluripotent stem cells derived from epithelial cells
2.3Haematopoietic stem cells
2.4Mammary stem cells
2.5Mesenchymal stem cells
2.6Endothelial stem cells
2.7Neural stem cells
2.8Olfactory adult stem cells
2.9Testicular cells

3Adult stem cell therapies

3.1Sources
3.2Clinical Applications
3.3First transplanted human organ grown from adult stem cells

4Adult stem cells and cancer

5  Open questions in adult stem cell research

6 References

 


Don Margolis
Bangkok, TX 

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About Don 

My name is Don Margolis. I am 74 years old and I have made it my life's goal to help as many people as I can before I pass away. The best way to do this is by making Adult Stem Cell research and stem cell therapy using Adult Stem Cells easily available to all. Right now, a heart disease patient in Philadelphia has to travel to Thailand to receive stem cell therapy. My goal is to have this wonderful medicine that treats more than 100+ different disease and conditions available to all so one doesn't have to travel 8000 miles for treatment