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    • Stem Cell Therapy
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    • Hormone Replacement Therapy – Sexual Medicine
      • Info for Women
      • Info for Men
      • Hormone Pellet Implant Therapy
    • Infusion Therapy
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      • Chelation – Longevity Infusion Protocol
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      • Sub-Lingual Immuno Therapy (aka: SLIT Therapy)
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    • Anti Aging New Patient Forms

Anti Aging New Patient Forms

New Patient Intake Forms

Please download, print and complete all forms. These forms contain our medical questionnaire with special emphasis on Age Related Signs and Symptoms. On the day of your appointment with Dr. Pearsall, please bring these completed forms with you for review.

New Patient Intake Form

Female Sexual Questionnaires:
  • Hypo-Sexual Desire Disorder (HSDD)
  • Female Sexual Function Index (FSFI)
  • Sexual Distress Scale

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Longevity and Stem Cell Centre of Houston 1200 Binz St., Suite 1198 Houston TX 77004 USPhone: 713-522-4037
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5
Longevity & Stem Cell Centre of Houston
Longevity & Stem Cell Centre of Houston
5
Mercedes Nadal
Mercedes Nadal
14:32 18 Aug 16
The staff here was so welcoming! Made me feel like I belonged there. Dr. Pearsall was so helpful and actually listened to me. I never felt rushed. I have not felt this good in years! I will definitely be continuing my treatment here! So glad I found this place. Totally recommend it!
Christa Stevens
Christa Stevens
14:40 18 Aug 16
I came here because I was feeling tired and had absolutely no energy. I am a mother with 2 young children. But couldn't seem to do what the other mom's were keeping up with. A friend referred me and I am so happy she did. My life has dramatically changed for the better! I have more energy sleep better and have actually lost weight! Dr. Marina Pearsall sat with me for over an hour and listened to everything I said. Such a caring doctor! The staff was really sweet too! Definitely recommend this place!
Alex Lipets
Alex Lipets
02:32 30 Sep 16
After several attempts at correcting my medical issues of low energy...etc, Dr. Pearsall's diagnosis and treatment was spot-on. The Testosterone Pellet Implants provided me with a better outcome than I could have imagined. The pellets are convenient and long-lasting. I underwent other therapies like HBOT & IV Infusion Therapy and it augmented the Hormone balancing treatments that I have been receiving. 5-Stars For You!
Warren Ross
Warren Ross
14:29 17 Sep 16
Dr. Pearsall is terrific. Took the time to explain any and all procedures. Answered all of my questions. Very pleased with the outcome. Monday Rusk is outstanding. Patients adore her. She is attentive and professional at all times. Willing to open early and stay late to accomodate my schedule. She makes the difference.
Beth Lavine
Beth Lavine
22:15 22 Sep 16
Dr. Pearsall is the first doctor that has ever helped my 11 year old daughter. She took my daughter from severe outbursts to almost none at all. For the first time in my life I can breathe. Her nurse Monday is beyond exceptional. She is was able to calm my child down and make her feel completely safe within 60 seconds. I have been to multiple doctors and specialists over the years and no one can even come close to this team. There aren't enough stars on the page to give them. They should have 1000. My life has forever changed. I am so grateful. If you have questions Dr. Pearsall has the answers.
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