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FEMALE HAIR LOSS

ONLINE CONSULTATION

ALTERNATIVES TO HAIR RESTORATION SURGERY

PATIENT PHOTO GALLERY

FINANCING

Online Hair Loss Consultation

Thank you for visiting our website. Many of our patients visit us for Hair Restoration and many other cosmetic surgical procedures from accross the country and around the world. In order to better serve you and address individual concerns we have created this online consultation form which allows you to communicate directly with Dr. McGrath.

Please fill out the form below completely and a patient coordinator will reply with Dr. McGrath's evaluation and suggestions. For a personal consultation call toll free - 512-474-HAIR (4247)

(This form is not intended to replace a physical exam and personal consultation with a physician.)

 
Male & Female Hair Loss Classifications
Male & Female Hair Loss Classifications

 
*Select hair loss classification from chart above.
*Date of Birth (MM/DD/YY)
*Gender
 Male  Female
*Previous Hair Transplant
 Yes  No
*General Health
Hair Loss Medications:
 
Propecia
 Yes  No
Rogaine
 Yes  No
Other Medication
What is the best method to contact you?
 Email  Phone
*First Name
*Last Name
Phone
Street Address
*City
*State
Zip
*Email
Comments
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