VIRTUAL CONSULTATION / HAIR TRANSPLANT
ONLINE CONSULTATION

Download a copy of the BIOGRAPHICAL DATA QUESTIONNAIRE
Fill out, and fax or mail back to us. You can also fill this out online.

Further, a copy of the photo and measurement card is enclosed with the biographical data questionnaire.

Photographs: We will need to have well-focused photographs according to the plan on the card, as well as measurements, in order to give you an approximation of your hair transplant requirements. You can e-mail or mail the photographs.

Please give us a narrative paragraph in which you describe what you would really like to do with your hair transplant. For example, would you like to replace the hair on the front of your head, on the back of your head, on your entire head, fill in a scar, or something else. Let us know what you are looking to do and when you are looking to do it. Also, we would need to know whether you wish to do it in sections, such as the front first and the back later, or try to do as much as possible at once. If you have old pictures you would prefer to return to the appearance of, send those.

Once we have the data, we will review it and fill out a consultation program for you, and e-mail or mail it to you. We would prefer to mail the consultation booklet with full instructions, as it allows you to have something to use as a reference. We would also prefer to send you a copy or our latest DVD showing about fifty patients and every aspect of hair transplantation. Also note, you can download the DVD if you have the correct Broadband equipment, and it can be found in the lower right corner of the menu page on our website.

Thank you.

Drs. Elliott and Dauer

ONLINE QUESTIONNAIRE