…Please, provide some additional information.

The additional information will help for a better evaluation and an accurate answer to your enquiry.
All information submitted are considered as confidential and are not shared with third parties.

Please, repeat your email address

Let us know about your hair loss problem & your expectations

Choose the Norwood class that is closer to your hair loss situation


Class 1Class 2Class 3Class 4Class 5Class 6

Upload photos of the area suffering from hair loss

Photo of the area of hair loss - front and top of the head.


Photo of the area of hair loss from the side


Photo of the donor area - back of the head



Past Treatments & Medical History

When can we schedule your diagnosis?

Morning hoursEvening hours

If you are located far from our clinics, you may have a first online diagnosis via Skype ( How to find your Skype Name? )

*indicates required field

Please, repeat your email address

Let us know about your hair loss problem & your expectations

Upload photos of the area suffering from hair loss

Photo of the area of hair loss - front and top of the head.


Photo of the area of hair loss from the side


Photo of the donor area - back of the head



Past Treatments & Medical History

When can we schedule your diagnosis?

Morning hoursEvening hours

If you are located far from our clinics, you may have a first online diagnosis via Skype ( How to find your Skype Name? )

*indicates required field

Please, repeat your email address

Let us know about your hair loss problem & your expectations

Upload one or more photos of the area that needs hair restoration



Past Treatments & Medical History

When can we schedule your diagnosis?

Morning hoursEvening hours

If you are located far from our clinics, you may have a first online diagnosis via Skype ( How to find your Skype Name? )

*indicates required field

Please, repeat your email address

Let us know about your hair loss problem & your expectations

Upload one or more photos of the area that needs hair restoration



Past Treatments & Medical History

When can we schedule your diagnosis?

Morning hoursEvening hours

If you are located far from our clinics, you may have a first online diagnosis via Skype ( How to find your Skype Name? )

*indicates required field

Please, repeat your email address

Let us know about your hair loss problem & your expectations

Upload one or more photos of the area that needs hair restoration



Past Treatments & Medical History

When can we schedule your diagnosis?

Morning hoursEvening hours

If you are located far from our clinics, you may have a first online diagnosis via Skype ( How to find your Skype Name? )

*indicates required field