Medically reviewed by the Celva medical team · June 2026
Thorough, by
design.
The evaluation starts with a call and is physician-read. We gather your full history, imaging, and baseline tests, and the medical team rounds on your case together before any decision. That care buys an honest decision, not a convenient one.
Case review, physician call, and written decision are included without charge.
Every case is read and rounded on by the physician team before a decision.
You receive the physician's decision in writing, with reasons. Accept, decline, or defer.
Why we start
with a call.
We start with a call to understand your case, then gather the records and baseline tests the physician needs. That lets the team read carefully, cross-check against imaging, and consult the literature before any decision is framed, never a quick yes on the phone.
The call lets you, the patient or family, put the case in your own words without being rushed. You can include what you've already tried, what you're worried about, and what a meaningful outcome would look like for your family.
From there, the physician reads everything, your records, imaging, and baseline tests, before any decision is framed.
Diagnosis, imaging reports, MRI disks, medication list, prior therapy trials, specialist correspondence if available, baseline labs where indicated, and what a good 12-month outcome looks like from your perspective.
How it
unfolds.
Inquiry & call
A short inquiry form, then a call with the care team to understand your case, what you've tried, and what you're hoping for.
Records & baseline tests
You send your imaging, reports, and records, plus any baseline tests or labs we ask for after the call.
Physician team review
Celva's medical team reads the case independently and rounds on it together. May resolve to a no here if the case is clearly outside scope.
Call
If the case merits further evaluation, an extended call follows. The physician team joins to discuss rationale, realistic expectations, and questions both ways.
Written decision
Accept with a care plan. Decline with reasons and referrals where appropriate. Defer for additional information.
Every case
ends one of three ways.
Accept · proceed to scheduling
Written care plan with dose, route, timing, follow-up schedule, and measured endpoints. Scheduling begins when you're ready.
Decline · with reasons
Written explanation of why the case doesn't fit. Where appropriate, referrals to trials, specialists, or alternate pathways.
Defer · pending information
Additional imaging, labs, or specialist evaluation requested. Decision reopens when the information is in hand.
Process
questions.
Q.01Is there a fee for the evaluation?
Q.02Is it decided on the call?
Q.03Is the decline letter final?
Q.04What if I've already had stem cell therapy elsewhere?
Keep
reading.
Begin the
evaluation.
The inquiry is short. The review that follows, your records and baseline tests read by the physician team, is thorough. We take the time to get the decision right.