Fill in the form below to start. Your submitted data will be reviewed and examined by our experienced medical team to propose a personalized and holistic treatment plan for your hair loss.
For a better evaluation, please, upload one or more photos of the area suffering from hair loss, and one more of the back of your head.
Please, make sure to include your name, medical history brief, any past treatments and your contact details (phone and email address)
Terms and coniditions: http://dhiglobal.com/terms-conditions/