16. Please list any prescription medications you are currently taking or have taken in the past.
17. Please list any over-the-counter medications you are currently taking or used in the past.
18. Please list any herb, vitamins, or natural supplements you are taking or used in the past.
20. Please use the space below to explain anything else you think would be helpful for us to know about your hair condition hair grooming habits or medical condition that we did not think to ask.
Send head shots that show the balding areas. Please pull back any hair that obscures the true state of your hair line. If possible also send some photos with the entire top of the head wetted.
Include the photos of the side and back of your head. If you are having body hair transplanted, please include photos of the hair bearing areas of your body from which you want the hair taken.
If you are unsure, send photos of all hair bearing areas. Include photos of special recipient areas such as scars, eyebrows, eyelashes, mustaches, etc.
5MB Max file size limit, PHOTOGRAPHS UPLOAD: