APPLICATION PREVIEW

Clarity before
the first conversation.

Explore the proposed assessment questions in five short stages. Applications are not being accepted yet.

Illustrative consultation and laboratory scenes, not NovaCell staff or patients — AI-created illustrative scenes. Not NovaCell staff, patients or facilities.

Five-stage non-collecting preview

01 / APPLICANT AND CONTACT

A useful first introduction.

These are proposed intake topics for clinical and privacy review. Required and optional fields will be confirmed before activation.

Who is the application for? Yourself / a child / someone you legally representPatient first nameMiddle name — optionalPatient last nameDate of birthHeight and weight — metric or imperialCountry and cityRegion and postal codeEmailTelephone with country codeTime zonePreferred contact method and suitable timesHow did you find NovaCell? — optionalReferral detail — optional

When relevant: representative or guardian

Representative name and relationshipRepresentative contact detailsAuthority to act — documents would be considered later through an approved process

Sex-related clinical information would be requested only where medically justified. Identity-document numbers and uploads are not part of this preview.

02 / REASON FOR CLINICAL REVIEW

What would you like to understand?

A reason for enquiry is not a treatment indication or confirmation of eligibility.

Condition, diagnosis or concern to discussMain symptoms or functional difficultiesApproximate diagnosis month/year, or not yet diagnosedTreating clinician name — contact details optionalAre relevant medical records available?What would you like the clinical team to assess?

Example enquiry topics include autoimmune conditions, autism, cerebral palsy, age-related frailty, cardiac conditions, multiple sclerosis, osteoarthritis, rheumatoid arthritis, spinal or disc concerns, sports injuries, wellness and other questions. Inclusion does not mean NovaCell offers or recommends a cell intervention. Where relevant, an MS subtype could be recorded; unknown is acceptable.

03 / MEDICAL HISTORY AND CURRENT CARE

Context for a clinician.

Future questions would be tailored to clinical relevance. Responses and warning flags require human review; this preview makes no eligibility decision.

Current medicines and supplementsBlood-thinning medicines: name, reason and approximate start date if relevantCancer history: type, diagnosis timing and current status if relevantDiabetes and insulin use if relevantAllergies and reaction detailsOther ongoing conditionsPrevious surgery or hospital admissions: procedure and approximate dateHormone treatment if relevant: medicine, duration and frequencyRecent vaccination timing where clinically requiredRelevant screening: test, approximate date and result only where appropriate

Optional focused history

These groups show the scope a clinician may consider. A later live form should open only relevant follow-up questions.

Neurological

Vision or involuntary eye movements; strength or muscle loss; walking or hand functionFainting, speech, tingling, twitching, stiffness or reflex concernsMood, memory, headache, sleep or dizziness

Respiratory

Asthma, bronchitis, persistent cough, emphysema or tuberculosis history

Cardiovascular and circulation

Heart attack or bypass history and timing, chest pain, rapid heartbeat, high or low blood pressureArterial or venous problems, leg cramps or heaviness, swelling, varicose veins, numbness or wounds

Digestive and liver

Reflux, bloating, ulcers, appetite or weight changes, investigations and resultsHepatitis type, gallbladder issues, jaundice or recurrent diarrhea

ENT, musculoskeletal and endocrine

Sinus or allergy symptoms, rhinitis, headaches, nosebleeds or recurrent coldsSoft tissue, joint or back concerns; rheumatic diseaseDiabetes, thyroid, adrenal or other relevant hormonal conditions

Family history — only where needed

Relationship and relevant endocrine, metabolic, cancer, cardiovascular, kidney, lung, neurological, rheumatic or mental-health condition. Do not provide relatives’ names.

04 / PRACTICAL NEEDS

Make room for the whole person.

Walking assistance, wheelchair or other accessibility requirementsSupport person or emergency contact: name, relationship and telephoneTobacco use and approximate amount — only if clinically requiredAlcohol use and approximate amount — only if clinically requiredAdditional questions or information

A detailed address or additional information should be requested only if there is a documented need.

05 / RECORDS, REVIEW AND PERMISSIONS

Review before any future submission.

Medical records

Medical-record upload will be available once secure intake is enabled.

There is no file picker or upload connection in this preview.

Preview summary

No information has been entered or saved. A future live summary would let an applicant review responses and return to the relevant section.

Future permission: handle health information for clinical assessmentFuture permission: contact the applicant about the applicationFuture permission: share with a specifically named external clinician or organization, where necessaryFuture declaration: information is accurate to the applicant’s knowledgeFuture acknowledgment: an application is not acceptance for treatment, emergency care or a promise of results

These are inactive design topics, not NovaCell legal terms or effective permissions. Nothing is preselected. Any actual medical informed consent belongs in a clinician-managed workflow for the specific proposed care.

No marketing permission is requested. Privacy wording, representation, retention and data access must be approved before activation.