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Online Virtual Consultation 

While some people prefer a one-on-one office consultation, we do offer the option of a free, no obligation virtual consultation to help determine how we can best help you with your hair loss.

Each individual has a unique hair loss situation. In order to allow us to give you the most accurate and personal assessment, we need you to submit digital photos or scanned copies of print photos of the top of your scalp; left and right side profiles; the back of your scalp; and your front hairline.

The photos you submit will help us to address your individual hair loss problem, the quality and density of your donor hair and how a new hairline could frame your face. Please fill out the following form and we will contact you shortly. You may upload a maximum of six photos (files must be in .jpg or .gif format).

Contact Information
Contact Name *
Email Address *
Phone Number *
Address  
City  
State  
ZIP  
Preferred Method of Contact
Best Time to Call
How long has this hair loss situation affected you?
Which one of these hair loss solutions have you tried?
None
Rogaine
Propecia
Laser Comb
Hair System
Surgical Restoration
Upload Photos (.JPG or .GIF only)
TOP of Head  
LEFT Side Profile  
RIGHT Side Profile  
BACK of Head  
FRONT Hairline  
MISC Photo  

Direct E-Mail:  should you have a problem submitting your information or photographs, please e-mail us directly at info@chicagohairtransplant.com.  Please include all of the information from the forms above (including photo attachment).

Privacy Policy:  All of your personal information is private and confidential.  Chicago Hair Transplant Clinic will not share your information with anyone at any time.

Chicago Hair Transplant Clinic
2725 N. Thatcher Suite 410
River Grove, IL

(708) 456-9800

Mowimy po Polsku:  Poprosić Mira (630) 788-5134

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International Society of Hair Restoration Surgery

American Society of Dermatalogic Surgery

American Society of Cosmetic Dermatology and Aesthetic Surgery
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