Online Consultation

We appreciate it may not always be possible, convenient, or at this stage, required to have a personal consultation. Our on line consultation service allows for a no obligation and confidential assessment of your case. Simply email clear pictures with the views set out as follows: Front View, Top View, Rear View, Left Side View, Right Side View.

The online consultation will allow us to determine your class of hair loss, estimation of grafts and suitable technique. A complete explanation of procedures, donor hair management, and hair retention will be included in the price estimation.

This is the first step in introducing you to the principles of the GHI hair transplant. We believe it is important that you have the knowledge and be informed of the choices available. Total transparency and your well being are of paramount importance to us.

Contact Information
Name:
Address:
Phone Number:
Alt. Phone:
Email:
Where did you hear about us?
Personal Information
Date of Birth:
Gender:	Male Female
Hair Loss Details
Hair Loss Class:	Select One Class 2 Class 3 Class 4 Class 5 Class 6 Class 7
Have you had a hair transplant before?	Yes No
Technique Used:
When Performed:
Do you use Minoxidil?	Yes No
For How Long?
Do you use Propecia?	Yes No
For How Long?
Your Preferred Method:
Time Frame to Commence:
Other Information
Goals and Expectations: