5. Choose the image that best describes your hair loss
9. Have you used any of these oral & topical medications for your hair loss?
10. Has your family suffered a significant amount of hair loss?**
Your Hair Loss Evaluation
Note: This form and any reply to it do not take the place of an actual in person consultation. It is merely intended to provide us with an initial idea of your condition and goals. With this information we can then give you an informed reply.
Guidelines for attached photos
To provide the most accurate assessment and give you an estimated number of graft, please use the following hair transplant photo guidelines:
Let somebody shoot it for you
Avoid using flash, use adequate bright fluorescent room lighting.
Clear background without distraction
Make sure that the area you are shooting is in frame and in focus
Please resize photos that exceed
Mb per each. Acceptable photo file types are
jpg or jpeg.
Provide photos showing the following positions: