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American Regenerative Clinic Logo American Regenerative Clinic Logo American Regenerative Clinic Logo
  • Dr. Lutskovsky
  • Aesthetic Services
    • Skincare Services
    • Elina Organics
    • Ultra V HIFU Plus Lifting
  • Regenerative Services
    • Systemic Ozone Therapy
    • Regenerative Therapy
    • Minimally Invasive Medical Aesthetics
    • Functional Medicine
    • Intravenous Laser and Photodynamic Therapy
    • Erectile Dysfunction Shot (ED Shot)
    • Hair Loss Treatment
    • IV Therapy
  • Patient Information
    • Before & After
    • Testimonials
    • FAQ’s
    • Patient Forms
  • Contact Us
  • Dr. Lutskovsky
  • Aesthetic Services
    • Skincare Services
    • Elina Organics
    • Ultra V HIFU Plus Lifting
  • Regenerative Services
    • Systemic Ozone Therapy
    • Regenerative Therapy
    • Minimally Invasive Medical Aesthetics
    • Functional Medicine
    • Intravenous Laser and Photodynamic Therapy
    • Erectile Dysfunction Shot (ED Shot)
    • Hair Loss Treatment
    • IV Therapy
  • Patient Information
    • Before & After
    • Testimonials
    • FAQ’s
    • Patient Forms
  • Contact Us
  • Dr. Lutskovsky
  • Aesthetic Services
    • Skincare Services
    • Elina Organics
    • Ultra V HIFU Plus Lifting
  • Regenerative Services
    • Systemic Ozone Therapy
    • Regenerative Therapy
    • Minimally Invasive Medical Aesthetics
    • Functional Medicine
    • Intravenous Laser and Photodynamic Therapy
    • Erectile Dysfunction Shot (ED Shot)
    • Hair Loss Treatment
    • IV Therapy
  • Patient Information
    • Before & After
    • Testimonials
    • FAQ’s
    • Patient Forms
  • Contact Us

Patient Forms

Patient Formsalbertoz@cm2media.ca2022-03-29T15:11:31+00:00
  • Consultation (.docx)
  • Consultation (.pdf)
  • Female Intake Questionnaire (.pdf)
  • Male Intake Questionnaire (.pdf)
  • Medical Symptoms Questionnaire (.pdf)

REGENERATIVE CLINIC

(248) 876-4242
31000 Telegraph Rd., Ste. 140,
Bingham Farms, MI 48025
Mon – Fri: 9:00 am – 5:30 pm

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Kalamazoo Spa

(269) 384-9080
4205 S Westnedge Ave
Kalamazoo, MI 49008

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Our Office Is Open During COVID 19

We are taking all precautions to ensure that clients and our staff are safe and to prevent the transmission of COVID 19.

This includes enhanced cleaning measures, asking you screening questions when you book your appointment and again when you arrive at our offices.

We require you to wear a mask in our offices at all times unless undergoing treatment. Please book your appointment by phone and do not visit the office without an appointment.

We look forward to seeing you again! Please contact us by phone with any questions you may have.

Thank you,

Dr. Lutskovsky and the American Regenerative Clinic Team

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