Questions, answered straight
Frequently asked questions.
Everything patients actually ask us — including the questions most practices in this field
avoid. If something you need is not here, ask it on the free 15-minute call.
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Starting outCandidacy, safety and medical questionsWhat we use — and its regulatory statusCost, insurance and financingWhere we go, and how we work
Starting out
What happens on the free 15-minute phone call?
We listen. You describe what hurts, what has already been tried and what you are hoping to get back to. We tell you honestly whether an in-home physician evaluation is worth your time — and if it is not, we say so on that call. Nothing is diagnosed, prescribed or sold over the phone.
What is the $99 in-home consultation, and what do I actually get?
A physician comes to your home. You get a history and physical exam, a review of any imaging or records you have, an explanation of what is and is not reasonable to attempt in your case, and blood work ordered where it is needed. If you go on to start a care plan, the $99 is credited toward it.
Do I need a referral?
No. You can book the free call yourself.
How long does the in-home evaluation take?
Plan for about an hour. It is a physician visit, not a sales call, and rushing it defeats the point.
Do I need imaging or blood work before you come?
It is decided case by case. We can work from recent imaging or recent blood work if you have it, but what is needed depends on the area being evaluated and the extent of the injury. If something additional is required, your physician will order it rather than guess.
Who comes to my home?
A licensed clinician from our own team — never a technician or a salesperson. You can see who they are on our team page.
Can my spouse or an adult child be there?
Yes, and we encourage it. Two people hear a plan better than one, and it is easier to ask hard questions with someone else in the room.
Can the whole thing be done virtually?
The first 15 minutes can. The evaluation cannot — a physical exam is the part that makes the recommendation worth anything.
Candidacy, safety and medical questions
How do I know if I am a candidate?
Candidacy is decided individually by a physician after examining you. It is not decided by a form, a quiz or a phone call, and there is no version of this where everyone qualifies.
What would make you decide not to proceed?
An active infection in or near the area being considered; an active malignancy near the treatment site; pregnancy or breastfeeding; and a clear surgical indication — if what you need is a surgeon, the most useful thing we can do is tell you that.
What are the risks?
Any injection carries risk: pain, swelling or bruising at the site, bleeding, infection (uncommon but serious), injury to a nerve or blood vessel, an allergic reaction, and the real possibility of no benefit at all. These preparations are not FDA-approved for these uses, so the risk conversation is not optional. You receive the full risk list in writing, in an informed consent document, before anything is administered.
What do I do if I have a reaction after the visit?
You can call your treating physician directly — you are given a number, and you are not routed through a call centre. In the case of a serious allergic reaction, call 911 first and then call us. To be plain about it: we have not seen that happen, but you should know the plan before you need it.
I take blood thinners. Does that rule me out?
Not automatically. They are held or adjusted only in coordination with the physician who prescribed them — never on our say-so alone.
I had a cortisone shot recently. Does that matter?
Yes. If a corticosteroid went into the same area within the past four weeks, we wait it out. Anti-inflammatories (NSAIDs) are paused for about five days beforehand.
I am diabetic, or I have a history of cancer. Can I still be evaluated?
Usually yes, with the exception of an active malignancy near the site being treated. Both come up in the evaluation, both affect what is reasonable to attempt, and both are reasons we coordinate with the physicians already treating you.
I already have a joint replacement or hardware in that area.
Say so on the first call. Hardware changes what can be reached and what is sensible to attempt, and in some cases the honest answer is that we have nothing to offer you.
Do you work with my primary care doctor or orthopedist?
Yes, and we prefer to. We are an addition to your care, not a replacement for it, and we will send records to your physicians on request.
Is it sterile, being done in my living room?
Materials arrive sealed, single-use and lot-labelled, and are handled with sterile technique by the clinician who administers them. Part of the evaluation is confirming the space is appropriate; if it is not, we say so rather than proceed.
Does it hurt?
Most people describe pressure and an ache rather than sharp pain, with local anesthetic used where it is appropriate. Soreness for a few days afterward is common and expected.
How many sessions will I need?
It depends on the area and what is found on exam. Plans are usually a series rather than a single injection, and a further series is generally not considered before four to six months. Your physician gives you the schedule in writing before you start.
What if it does not work?
Nobody can promise you a result, and we do not. We reassess function at around three months, and if you are not responding we will tell you that instead of selling you another round. Any services you have paid for and not received are refundable in full.
What we use — and its regulatory status
Is this stem cell therapy?
We will not play word games with this. We use two different things. Exosome preparations are cell-free signalling vesicles — there are no cells in them. Extracellular-matrix (EXM) allografts are perinatal tissue preparations that do contain cell populations, including mesenchymal cells. Under Florida law your physician provides you with the required stem cell therapy notice and written consent, and will tell you exactly which material is being proposed for you.
Is any of this FDA-approved?
No. No stem cell therapy is FDA-approved for orthopedic or general use, and the preparations we use are not FDA-approved for the uses discussed here. They are considered investigational. Anyone telling you otherwise is either misinformed or misleading you.
Then how is it legal in Florida?
Florida law (F.S. 459.0127 for osteopathic physicians and F.S. 458.3245 for medical physicians) permits a licensed physician to offer stem cell therapy that is not FDA-approved, for orthopedics, wound care or pain management, provided specific conditions are met — including a written notice in advertising, documented informed consent, and requirements on the supplier and on lot-level testing. That is the lane we stay inside. Nothing about state law makes a product FDA-approved.
Where does the material come from?
Perinatal tissue — donated after delivery, with consent — processed by a U.S. tissue establishment. Federal tissue rules (21 CFR Part 1271) put donor eligibility screening and infectious-disease testing at that establishment, upstream of us. Our supplier reports 14-day sterility testing on every batch.
Can I see the paperwork for what is being injected into me?
Yes, and you should ask. Florida law requires your physician to obtain the supplier’s post-thaw viability report for the specific lot before it is used. Ask to see that report and the product labelling. Any practice that will not show you is telling you something.
How is this different from PRP?
PRP (platelet-rich plasma) is made from your own blood, drawn and spun on the spot. What we use is donated perinatal tissue material prepared by an outside establishment. They are different categories of material, prepared differently, with different regulatory status.
What does ultrasound guidance mean?
That the clinician uses live imaging to place the needle, rather than placing it by feel. It is used where the target makes it appropriate.
Do you claim this regrows cartilage or reverses my condition?
No. We do not claim these preparations regrow, rebuild or replace tissue, and we do not claim to treat or cure any disease. What is being attempted is a change in symptoms and function, and it may not happen.
Cost, insurance and financing
What does this cost?
The 15-minute phone call is free. The in-home physician consultation is $99, credited toward your care plan if you proceed. Single-joint sessions start at $5,000. Because plans are built around the area, the findings and your goals, your exact price is quoted to you in writing before anything is scheduled — not estimated on a phone call.
Do you take insurance?
No. These are elective, self-pay services and are not covered by insurance or Medicare. You will not be surprised by a bill from us afterward.
Can I use HSA or FSA funds?
Yes, we accept HSA and FSA cards. Whether a specific service is eligible is ultimately determined by your plan administrator, so keep your written treatment plan and receipt.
Is financing available?
Patient financing is available for those who qualify, including CareCredit. Approval, terms and interest are set by the lender, not by us, and we do not quote monthly payments before you have been approved.
What is your refund policy?
Any services that are unused or not yet rendered are 100% refundable.
Will I be pressured to decide on the spot?
No. You get the plan and the price in writing and you take as long as you want with it. Under Florida law you also have the right to refuse payment for services performed within 72 hours of responding to an advertisement for a free or discounted service, and that notice appears at the bottom of every page of this site.
Where we go, and how we work
What areas do you travel to?
The Orlando metro, plus Plant City, Lakeland, Titusville, Melbourne and Melbourne Beach and the surrounding areas. We also cover other Florida cities depending on physician availability — ask on the call.
Do you see patients from outside Florida?
No. We see patients in Florida only.
Is there a clinic I can come to?
No. REVĪV is a mobile practice by design — the physician comes to you. Our downtown Orlando address is an administrative office, not a patient-facing clinic.
When can I reach you?
Free 15-minute calls are scheduled Monday, Tuesday, Thursday and Friday, 10:30 a.m. to 4:00 p.m. Eastern. You can book a time here or call (407) 349-7155.
Is my information private?
Yes. Your health information is handled under HIPAA, and it is not sold or used for advertising. What we collect and why is set out in our privacy policy.
Why are there no patient testimonials on this site?
Because we would rather show you nothing than show you something we cannot stand behind. Testimonials require a valid written release from the patient, and results in one person predict nothing about results in another. When we publish them, they will be real, released, and clearly not a promise.
Still have a question?
Fifteen minutes on the phone, at no cost, with no obligation. We will tell you honestly whether
an evaluation is worth your time.
New to this? Read Regenerative Medicine 101.
Looking for a specific area? See what we evaluate.