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 SUPPORTER OF THE ASCF (free).
We have doctors in various areas of Australia, New Zealand and overseas performing experimental stem cell transplants. Most procedures are performed at day surgery clinics except for the more serious conditions which can require a stay of up to 4 to 6 weeks as in the Bangkok/Shanghai Clinics. Many of our doctors act as a Portal or referring doctor to the Bangkok/Shanghai clinics for treatment of more serious conditions beyond their scope. Your options are below.
PREVENTION PLAN: It is also a further requirement that you follow the ASCF Prevention Plan prior, during and after a procedure as it has shown to be most beneficial in enhancing your speedy return to health.
http://www.adultstemcellfoundation.org/prevention-plan.pdf – once you have completed and submitted the Application below please immediately contact the ASCF for advice on how to implement this Plan to benefit your condition.
Please read this Application thoroughly before applying.
We would also like to point out that there are medical conditions today that are still beyond the scope of this new and exciting branch of medical science, which means unfortunately not all conditions can be considered at this stage. If your condition is in that category, it is even more important you consider following the ASCF Prevention Plan and try and keep your health in the best possible condition while science catches up. Science is moving very fast in the area of Integrated Oncology and Regenerative Medicine
By completing this application for Integrated oncology 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. The personal information contained in your application that will be sent to a participating doctor for review, will at all time be private and confidential and not released to third parties by the ASCF. 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 and conditions as mentioned above.