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Forms & Feedback

By telling us a little more about you and your condition, we can tell if you would be a candidate for regenerative treatments.  Knowing more about the background of your condition will help us give you the most accurate information.

We value your feedback and would appreciate your taking a moment to share your experience with us and others by writing a Google review.  If you have already written one, you should still submit another with updates on your treatment progress and ongoing experiences with us.

While we really appreciate leaving a Google review, this short survey is designed to rate your experience of a specific procedure.  You may complete this for as many visits as you would like.

The New Patient Registration Forms are fillable.  You may choose to:

  • Complete in Adobe, save them, then email to svisser@fdtcenter.com

  • Print and bring them with you to your visit

  • Complete the forms in our office upon arrival

The Pre-Treatment Survey assess your symptoms and condition prior to treatment. This allows us to monitor your progress and tailor your care.

The short Treatment Progress survey help us evaluate your response to treatment. Your feedback helps us to track outcomes and continue providing the highest standard of care.

Chicago Stem Cell Therapy &

Pain Management Institute

 

​Zaki Anwar, MD

10181 W Lincoln Hwy

Frankfort, IL 60423

New Patients Call: 815-412-6192

Main Office Call or Text: 815-464-7212

Text STEM to 815-464-7212 to learn more 

OFFICE HOURS

Monday-Thursday: 9am to 5pm

Friday: 9am to 3pm

Saturday-Sunday: Closed

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This website, www.chicagostemcelltherapy.com, offers the opportunity to connect with regenerative medicine and stem cell therapy professionals as part of clinical practice.  Because stem cell therapy is not the standard of care in the United States, the following important disclosures are made:

 

The science of treatment with stem cell therapies can be considered experimental.

The outcome of stem cell therapies will vary between patients and no particular measurement of success can be guaranteed.

There could be unknown risks associated with stem cell therapies as long-term studies have not been performed.

Treatments by licensed providers will only be performed after the patient understands and agrees to informed consent.

The testimonies of people who appear on this website have voiced their experiences at their own free will.

The stem cell therapies performed in this office are not a clinical trial.

© 2024 by Chicago Stem Cell Therapy.

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