ISO 9001:2008 Certified

  • Medical Tourism India for hair Transplant
 

Online Consulation

 
You are requested to mail us the details according to the Proforma given below along with the specified photographs for the consultation. Mails with complete details will be considered for the consultation and only genuine concerns will be addressed

For any reason, if further information is required a second form will be sent to you.
Most of the times our online consultation is free but a selected few might be charged (Rs 500) depending on our discretion.

Note:  As it is taking at least one-two months for us to allot a surgical slot, it is better to book a slot in advance.


 
PROFORMA FOR CONSULTATION
Name : *
Age : *
Sex(M/F) :
Address : *
Contact No : *
E-Mail : *
Since how long are u loosing hair: *
Hair loss history in detail :
Any other health problems ?
Family history of hair loss :
Are you on any other medication ?
Your expectations from us :
Photographs taken in the following specified angles are required
(Resize Image Max 250 Kb):
Front face view : *
Model Photo
Front face with 45┬░download tilt :
Model Photo
Full top view :
Model Photo
Left front oblique view :
Model Photo
Left side view:
Model Photo
Perfect back view of the head :
Model Photo
Full back upward tilt :
Model Photo
Close-up view of the donor area :
(Macro View to assess density)
Model Photo