Online Consultation

How to get my hair back?

Free Online Consultation

Please spare a few minutes to answer the following questions. To fix the type of your hair loss, and to give you information about the possible cost of the treatment, we need correct information in the required spaces in the form.

For a healthy diagnosis, you should see the doctor in person. If you send three photographs taken from different angles showing the current state of your hair, our experts will contact you. The size of your photographs sent via e-mail shouldn't exceed 200KB; otherwise; we won't receive the photos you have uploaded.



Consultation Application Form
First Name : *
Last Name : *
E-Mail : *
Address :
Country : *
City :
State/Province :
Zip Code : *
Day Phone : *
Mobile Phone : *
Profession : *
Date of Bird : *
Sex : Male     Female
Texture of Hair : Thin     Medium     Thick
Waviness of Hair : Straight     Wavy     Pretty curly
Hair Colour : *
1. Family history of baldness-hair loss
Yes     No
2. Baldness pattern
Patter 1     Pattern 2     Pattern 3
Pattern 4     Pattern 5    
3. Which tecnique are you interested in?
FUT (Follicular Unite Transplantation) strip tecnique
FUE (Follicular Unit Extraction) No strip excision
Both
4. What would you like to achieve with hair transplantation?
restore the front hairline
mid scalp
back
your entire balding area
5. Have you had any previous surgery performed?
Yes     No
6. Have you treated your hair loss with any of the following?
Other:
No
Past
Present
7. Would you like to contact one of our former patients?
Other:
Yes     No
Notes :
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The ideas and information provided on the pages of this web site are for your general knowledge only and are not a substitute for medical advise, diagnosis and treatment by a physician or other healthcare provider and also not a link for gaining patients/physicians. The information should not be considered to be complete and each individual statement can not be verified for its accuracy. All health care concerns should be directed to your physician or other health care provider. It is your full legal responsibility the decisions you make regarding your health, as well as how you use this web site.

Please do not forget that the information given in this website should not be compared with the information provided after a consultation or diagnosis of a physician. Except as otherwise noted herein, the thoughts stated in the sources do not reflect the official thoughts of Hattat Hospital Group.