Are you a Candidate?

Complete this online screening form to determine your eligibility for our Autologous Cell Fraction infusion at ALIV x Solo StemCells in Pune.

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Procedure Cost

I understand that this is a patient-funded program and the cost is in the range of Rs. 1,00,000 to 3,00,000 per session depending on the classification and severity of the condition. Travel and accommodation are not included. (Interest-free EMI options available for Indian residents)

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Capable of travel?

ALIV x Solo StemCells is located in Pune, Maharashtra, India. Candidates must be physically, mentally and legally able to travel to our clinic for the procedure. If you have mobility issues; you will be required to travel with a companion.

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Pregnant?

Is the candidate pregnant or at risk of being so?

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Cancer Diagnosis?

Is the candidate currently diagnosed with any type of cancer?

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Active or Chronic Viral Infection?

This includes HIV1, HIV2, Hepatitis B or Hepatitis C. We do not accept patients with active HIV infections.

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Current Diagnosis

Please select the medical condition that best describes your case below.

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Current Symptoms

Please describe your current symptoms and medical history. Providing detailed information will help speed up the application process.

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Goals

Please include a brief description of what you hope to achieve with treatment. This will help our medical team better understand your unique goals.

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Candidate Information

Please include full name, age and gender.

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Contact Information

Please submit your email information below so our patient management team may respond to your application. There are no obligations associated with completing this form.