What Hair Restoration Solutions Have You Already Tried?
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Topical (medicine you placed on affacted area)
Oral Medication (pills you were prescribed to stop hair loss)
Injection Therapy (usually prp or some sort of infusion shot)
Where are you balding or want to restore most?
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Area #1
Area #2
Area #3
Area #4
Area #5
Area #6
How long have you been struggling with Hair Loss?
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Are You Looking To Restore Your Hair Permanently?
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Yes
No
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Full Name
Email
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Phone
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