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Hair Loss Questionnaire for Men

About You

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(All information you provide is considered strictly private and confidential and will not be shared in any way).

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Prescription MedicationHair TransplantsPRPLight TherapyHair UnitOTC Topical Treatments
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Medical History

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Other Information

Hair Loss Solutions for Men

Meet with Tiché Florence, our certified trichologist and hair restoration specialist who will work one-on-one with you to address all your hair loss concerns and help you determine which hair loss treatment, or hair replacement solution is right for you.

Our consultants will take time to discuss your options and address any question or concerns you may have so you can regain a full head of hair and lead your life on your own terms without the constant anxiety hair loss causes for so many men.

Get Started with a Free Consultation.

We invite you to schedule your free, confidential hair replacement consultation today. Meet with Tiché Florence, our certified hair trichologist and restoration professional at our state-of-the-art hair replacement center in Columbus, Ohio. There is no charge or obligation! We will provide you with complete information regarding causes of baldness and specific treatment or hair replacement options tailored to your individual situation and lifestyle.

Each of our hair restoration procedures is custom designed for your specific needs, lifestyle, and budget. Whether you are just starting to experience hair loss, or are in the most advanced stages, we can help with our full range of professional treatment options.

HAVE QUESTIONS ABOUT OUR HAIR RESTORATION SERVICES? LET'S CHAT.
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