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Ensure you submit your phone number and do contact us back if you have not received a response in 3 business days.
If you are NOT contacting us in relation to hair loss, please fill in the Online Enquiry Form.
Online Consultation Form
An online consultation is an essential first step in us formulating a possible treatment plan for you.
Please complete the consultation form below and attach photos. Please read and follow the photo guidelines before submitting the form. A formal consultation is only possible if the required photos and assessment are submitted. Please ensure that ALL questions are answered.
Photo Upload Restrictions
Photos must not exceed 4MB each. Please resize photos that exceed this limit.
Acceptable photo file types are jpg or jpeg.