Online Consultation for Hair Transplant. Fill out the form below and Dr. Civas will review your case. The doctor will respond via email or phone as soon as possible. (please check your spam box)
Hair Loss Info
Photo Uploads
Instructions for Photos:
1. Submit one different photo for each of the four views (Front, Side/Angle, Top, and Rear)
2. Photos with dry hair only
3. Include your entire head. You may block out your face, but very close-up photos are not useful. The doctor needs to see the overall pattern of your hair loss
Reasons for Inquiry
Personal Information
General