Contact & Consultation

Whether you are enquiring about potential Dezawa MuseCells® / Dezawa MuseExosomes® programs or broader longevity care in Thailand, this form helps us route your request to the right team.

Patient/Family Contact Form (Suggested Fields)

Full Name * :

Age/Gender (optional) :

Country of Residence * :

Primary Diagnosis or Condition * (open text) :

Previous Treatments (open text) :

Attach Medical Reports (file upload):

Choose File No file chosen

Email & Phone / Preferred contact method * :

Note:
Submitting this form does not create a doctor-patient relationship. It allows our team to perform a preliminary review and advise whether a formal consultation is appropriate.

Healthcare Professional/Institution Form (Suggested Fields)

Full Name * :

Specialty/Position * :

Hospital/Clinic / Institution Name * :

Province / Country * :

Email & Phone * :

Type of interest (Clinical program / partnership, Research collaboration, Referring patients, Education & training)

Message / Project Description

General confirmation message :
Our team will review your information and contact you with the next steps. For international patients, this may include requesting additional medical records and suggesting times for an online consultation. For Thai healthcare providers, we will propose a meeting to discuss feasibility and collaboration options.

Legal/Medical Disclaimer

The information on this website is for general educational purposes only and is not intended as medical advice for any individual. Dezawa MuseCells® and Dezawa MuseExosomesR programs are not suitable for all patients or all conditions, and many applications remain under clinical investigation. Any consideration of these programs must be based on a full medical assessment by a qualified physician and must comply with Thai laws, regulations and ethical standards. No guarantees of outcome or cure are made or implied.