If you would like to see if a healthy full head of hair is truly what you want and need, a Consultation at New Images clinic is the answer !

We'll provide you a Private and No Obligation consultation with our Dermatologist in our beautiful and relaxing clinic environment. In this consultation, we will analyze your specific hair loss pattern and its source. This analysis tells us what we need to provide you with information on the solutions that will work for you.

Many hair loss solutions don't work for everyone. We'll advise you of the latest technological breakthroughs available for your hair loss type/cause. You'll have a unique opportunity to not only review possible solutions, but to inquire about these solutions in great detail. You cannot go without this information.
 
Please fill the form below in order to give you appropriate advice:
1.How long have you been losing your hair?
1-3 years 3-7 years 7-15 years more than 15 years
2.Where has the hairloss occured?

3.Is the scalp visible in the area where you have lost your hair?
Yes No
4. Do you suffer from...? (choose as many as applicable)
dandruff itchy scalp dry scalp oily scalp
5. Would you characterize your existing hair as... (choose one)
Dry Oily Normal
6. How would you rate your current rate of hair loss? (choose one)
Less Moderate Severe
7. Have you experienced an increase in your rate of hairloss in the past year?
Yes No
8. Have you ever tried to do anything about your hairloss?
Rogaine (Minoxidil) Hair Transplant Hair Replacement
Lotions/Shampoos Nothing
9. Have you ever seen a doctor about your hair loss?
Yes No
10. If yes for the above question then what recommendation you recieve?
11. Has anyone in your family suffered hairloss?
Father Mother Brother Sister
Anyone from Maternal side
Anyone from Paternal side
12. Why do you want to do anything about your hair?
Self Confidence Age Appearance
Dating
13. Do you want to:
Stop your hairloss? Have more hair?

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