If you have been instructed to do so by our staff, please fill out the following form, to minimize our contact and interactions upon time for your appointment. Thank you from our office!

Services Requested

All payments are due at time of testing or service, and are non refundable. By continuing below, I authorize RegenX Medical Institute to administer tests or services requested above. If applicable, test results are normally received within 24-48 hours but may take longer depending on type of testing and extenuating circumstances, signature may be required in person