How to ApplyFill out our candidate form and find out if you are eligible for treatment. Name * Voornaam Achternaam Phone number * Land (###) ### #### Email * Location Where are you writing us from Please select your primary problem area Shoulder Elbow Hand & Wrist Hip Knee Foot & Ankle Spine Other Please provide information about the condition for which you are considering treatment * Wetransfer link with your MRI Use wetransfer.com to upload your files and paste the link here http:// Upon submitting this form, you will be assigned a personal Regenexx Representative. Would you prefer that we email you or that we call? Yes, please call me No, email only for now Agreement * I understand that an MRI is required for most treatments* I understand Regenexx Procedures are not covered by Insurance* Thank you! We’ll be in contact as soon as possible.
