Request Free Evaluation | Altiva Cellular Therapy

AFTER YOU SUBMIT

What Happens Next

Your case is reviewed by our clinical team with physician oversight. This is not an automated response.

Within 48 hours, you receive a candidacy assessment. If your case is not a strong fit, we tell you honestly.

Qualified candidates receive a protocol outline with confirmed pricing before committing to travel or treatment.

You can schedule a video consultation with Dr. Gutiérrez to discuss the recommendation at no charge.

Prefer to talk first?

Email info@altivacellulartherapy.com

1. Your Information

2. Your Condition

About You

First Name *

Last Name *

Email Address *

Phone / WhatsApp *

Country of Residence *

Date of Birth *

Primary Treatment Interest *

Your Condition

Primary Condition or Diagnosis *

How Long Have You Had This Condition? *

Previous Treatments Tried

Current Medications & Supplements

Do You Have Imaging or Lab Work Available?

Upload Records (Optional) Click to upload files

MRI reports, X-rays, lab work, medical records, or DICOM ZIP files
PDF, JPG, PNG, DOC, or ZIP accepted. For larger files, you can send them by email after submitting and we will link them to your case.

Your records are reviewed confidentially by our clinical team only. You can also send documents by email after submitting.

Additional Notes

Your information is private and will only be reviewed by our clinical team.

Start Your Evaluation

What Happens Next

About You

Your Condition

Questions Before You Submit?