1. Trichology Consultation Form
This form gathers information about your hair health, lifestyle, medical history, and any concerns you may have. Your responses will help us create a personalized treatment plan.
Disclaimer: This form is intended solely for collecting necessary information to assess your hair and scalp health needs. It is not designed to diagnose, prescribe, treat, or cure any medical condition or disease. The information provided serves as a supportive tool for healthcare professionals, including but not limited to Primary Care Physicians, Dermatologists, and Endocrinologists, to collaborate effectively in managing hair and scalp disorders.