Skip to content
About
Business Solutions
Regenerative Medicine
Medical Aesthetics
Tissue Allografts
Gel Allografts
Exosomes
P.R.P. Kits
Peptides
Peptides FAQ
Contact
Cart
$
0.00
Discover Our Products
Cart
$
0.00
Register
*
Login
*
*
Email
*
*
Password
*
Strength: Very Weak
SHIPMENT & DELIVERY
*
Referral Name
Select Option
Select Option
Bill Anson
*
*
Clinic Name
*
*
Clinic Shipping Address
*
Clinic Address Line 2
City
State / Province
Postal / Zip Code
MEDICAL LICENSE INFORMATION
*
Medical License Holder Name
*
*
Medical License Holder Credentials
Select Option
Select Option
MD
DC
DO
ND
NP
PA
DDS
*
Practitioner Phone Number
*
Practitioner Email
*
*
NPI
*
*
Medical License Number
*
*
Medical License Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
Acknowledgement
I acknowledge that I have read and understood the above information/requirements, and am a medically licensed professional, and will not resell or distribute any products ordered. IMPORTANT By signing this consent form, you acknowledge that any products that the FDA has not provided pre market approval for are considered investigational and/or experimental and/or for research use, and as such do not have the ability to be legally advertised in any way that makes claims about their safety or outcomes. This disclaimer applies to both peptides and biologics as defined by the FDA, including but not limited to birth tissue allografts and peptides/biologics created from amino acid sequences. Please consult your legal counsel for any questions regarding the governance of your state medical license as it pertains to the uses of such non-FDA Approved biologics.
Sign Up
Done
(Use Cropper to set image and
use mouse scroller for zoom image.)
About
Business Solutions
Regenerative Medicine
Medical Aesthetics
Tissue Allografts
Gel Allografts
Exosomes
P.R.P. Kits
Peptides
Peptides FAQ
Contact
Discover Our Products
Your cart
Your cart is empty
Continue shopping