First Name *

Last Name *

Title *

(MD, DO, PA, NP, Admin, etc)

MD
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Email *

Mobile Number *

What areas and/or procedures are you mostly interested in? *

Select Course Below To Enroll : * (Contact us if selecting multiple courses)

April Dates :

April 7th, 2025 - PDO Thread Course

April 8th, 2025 - PRP for Aesthetics and Hair

April 9th, 2025 - Bio-Fillers with Plasma Gel

April 10th, 2025 - Intro to PRP for MSK

April 10th, 2025 - Advanced to PRP for MSK

June Dates :

June 9th, 2025 - PDO Thread Course

June 10th, 2025 - PRP for Aesthetics and Hair

June 11th, 2025 - Bio-Fillers with Plasma Gel

June 12th, 2025 - Intro to PRP for MSK

June 12th, 2025 - Advanced to PRP for MSK

August Dates :

August 4th, 2025 - PDO Thread Course

August 5th, 2025 - PRP for Aesthetics and Hair

August 6th, 2025 - Bio-Fillers with Plasma Gel

August 7th, 2025 - Intro to PRP for MSK

August 7th, 2025 - Advanced to PRP for MSK

VIP Class :

Adipose Sports Med Class

Bone Marrow Sports Mes Class

MEN Sexual Rejuvenation

WOMAN Sexual Rejuvenation

Where do you want to get trained?

My own Practice

Instructors / Academy’s Location

What dates are you available? (Please provide 3 specific dates)

Are you interested in learning sexual rejuvenation techniques in Women, Men or Both?

Men

Women

Both

Payments (Select all that apply if taking multiple classes) :

PDO Class

$1500

PRP for Face and Hair

$1500

Bio Filler and Plasma Gel

$1500

PRP Intro to Sports Medicine

$1800

Advancd PRP to Sports Medicine

$1800

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