Pre-examination

At Haarklinikken, our commitment is to our patient’s success and happiness.  For this reason we do not accept patients unless we are confident that we can offer them significant hair restoration results.  Not all candidates for hair restoration will see the same results, so the first step to conduct a preliminary examination to determine your prospects for successful hair restoration.

To speak to a Haarklinikken Hair Restoration Professional about your hair loss and have your prospects for successful hair restoration evaluated, please fill out the following form:

Your Name (required) Leave this field empty. Your Email (required) Your Phone Number (required) Your Age For how long have you been on any medication, if at all? (NA) if never. How long ago did you first notice hair loss? Is hair loss common in your family? Your questions or concerns Insert the code

Gender MaleFemale Interest ProductsHair TransplantsBothOther Male Hair Loss Scale Men, click on the image closest to your hair loss condition.  1  6  2  7  3  8  4  9  5  10 Female Hair Loss Scale Women, click on the image closest to your condition.  1  2  3 Have you used the following treatments? Rogaine  1Past  2Present  3Never Propecia  1Past  2Present  3Never

 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Level 9 Level 10
 Level 1 Level 2 Level 3
 Past Present Never
 Past Present Never