Phone Number *
Your Email Address *
Your Name *
DOES YOUR HEAD BURN, ITCH, OR FEEL SENSITIVE TO THE TOUCH? HAS THIS HAPPENED IN THE PAST MONTH?
ARE YOU UNDER A LOT OF STRESS?
DID YOU HAVE COVID?
HAVE YOUR MEDICATIONS CHANGED?
HAS YOUR DIET CHANGED?
ARE YOU LOSING HAIR ALL OVER, OR IN SMALL AREAS OR IN SMALL PATCHES?
WHEN DID YOU START NOTICING HAIR LOSS?
To treat hair loss, it's vital to know the cause. Answers to these questions can help us develop your personal treatment plan.
Tell me about yourself and your story! If you have a hair follicle we can help!