Personal assessment

Step 1 of 5

Step 1 :General information

Family name(*)

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First name(*)

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Adress(*)

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Postal Code(*)

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City(*)

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Country(*)

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Birthday(*)

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Private phone number(*)

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Cell phone number(*)

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+32.42265585

Email address(*)

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Confirmation email address(*)

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Step 3 :Previous treatment

Did you already have a hair transplant?

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Are you using minoxidil ?

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Are you using Propecia ?

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Are you using vitamins ?

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Any question or remark you may have can be entered in the box below. (for example, the area(s) you wish to treat).

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Step 5 :Area needing treatment

What area(s) do you wish to treat? Please, give further explanation.(*)

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Photos

Please send some photos in order to give Dr. Plovier some insight into your hair situation. In return, you will receive Dr. Plovier's estimate of the approximate amount of grafts needed to treat the concerned areas.
Please follow these instructions to facilitate transferral of your photos :
Store photos in the my pictures folder which usually can be found in the my documents folder
Click on the link below to upload your saved photos (Maximum file size of 1mb per Photo is recommended)
By clicking the final "send" button, the photos will be automaticlly sent to Dr. Plovier's email address

Frontal photo

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Top-side photo (head bend forwards)

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Photo of the side of the head

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Photo of the rear of the head

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Other Photos…

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You can send us the photos either by e-mail, flash drive or cd-rom.
This personal assesment can't substitute for a personal consultation.

(*)

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Personal assessment Women

Step 1 :General information

Step 2 :Status of your hair

Step 3 :History of your baldness

Step 3 :Previous treatment

Step 5 :Area needing treatment

Photos

The clinic

Hair treatment

Care

Contact & info+