Photo Consultation for Hair Loss

Note: In-person consultations are preferred because an exam allows the doctor to better evaluate your hair loss. Schedule a consult at our office with the doctor.

Can’t visit our hair restoration facility in New York City? Use our photo consultation service. Fill out the form below as completely as possible.

After reviewing the information and photos you submit, the doctor will contact you by e-mail. All information and photos that you supply are kept strictly confidential.

Photos may only be submitted as JPGs and must be under 6 megabytes in size.

* = required


Personal Information
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Reason(s) for Inquiry
  1. You may select more than one option:





Hair Loss Info
Photo Uploads
  1. Instructions: In order to be considered for a photo consultation, you must:
    1. 1. Please submit one photo for each of the four views (Front, Side or Angle, Top and Rear).
    2. 2. Submissions that include duplicates of the same photo will not be accepted.
    3. 3. Please take photos with your hair dry.
    4. 4. Include your entire head in the images. You may block out your face, but a very close-up photo is not useful. The doctor needs to see the overall pattern of your hair loss.
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General Info & Comments
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