Denizli Hair Transplant

1. Do you have any diagnosed medical condition? (Systemic or Dermatological)
YES NO

2. Do you have redness or scaling on the scalp, behind the ears, eyebrows, or around the nose?
YES NO

3. Are you currently taking any medications?
YES NO

4. Have you undergone any surgeries?
YES NO

5. Do you smoke? (Cigarettes per day)
YES NO

6. Is there a history of hair loss in your family?
YES NO

7. What is your hair type?
Straight Curly Wavy

8. Do you have any allergies to medications or similar substances?
YES NO

Please upload your photos from the angles shown below:
denizli hair transplant

You can upload multiple photos.

I have read the Personal Data Protection Notice and consent to the processing of my personal data.

Hair Assessment Form