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On-Line Consultation

Perhaps you are wondering what your alternatives are to losing your hair. If you are, please complete the from below. Our experts in the area of hair loss will evaluate your answers and get back to you with detailed information regarding your hairloss and possible solutions. Please answer each questions to the best of your ability. You will have a chance to ask specific question at the end of the form.

Thank you for completing this questionaire. After submitting, you will be taken back to the DHR Home Page.