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HAIR LOSS
EVALUATION
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First Name
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Last Name
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Email
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Phone
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Treatment
FUE Hair Transplant - $3,800 USD
Stem Cell Treatment - $650 USD
PRP Hair Treatment - $350 USD
Robotic Hair Transplant - $6,800 USD
Beard Transplant - $4,700 USD
Not Sure
Other
Do you want to have a Telemedicine Consultation?
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Do you want to have a Telemedicine Consultation?
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Prefer to communicate through email for now
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Preferred time for Telemedicine consultation PST
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Preferred time for Telemedicine consultation PST
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Midday PST
Afternoon PST
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What are you trying to achieve?
Cover a few problematic areas
Full hair like before the hair-loss began
Grow long hair
Restore Front Hairline
Fill in Thinning Hair on top of head
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