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Online Diagnosis


If you wish before submitting your Online Diagnosis please refer to the Patient Cases

More than 100.000 satisfied DHI Customers!


It is our vision is to make available the DHI NO TOUCH Technique in every city worldwide.
Our strict quality control protocol allows only highly trained dhi certified medical doctors to perform the procedure.
To date, we have trained fifty medical teams and they perform DHI procedures daily all around the globe.
The demand however for our amazing procedure far exceeds our capacity as we receive thousands of enquiries daily.   

If you could please complete the form below.

If you are considering a DHI procedure within the next 12 month, we would advise you to pre-book your procedure dates 2 to 3 months in advance
Consultations and the DHI hair loss analysis test should be pre-booked 2 to3 weeks in advance.

Please read this first carefully:
By completing the Online Diagnosis form in as much detail as possible, we will be able to come back to you with a full and detailed complimentary analysis from the DHI Diagnostic Department Medical Team within the next few days.
In order for us to be as accurate as possible, please provide in detail the history of the evolution of your hair loss.
It will also be of great assistance if you can provide the Diagnostic Department Medical Team with clear, close up digital photos of your thinning and donor zones.

London Procedure fees: 4 GBP / hair - Minimum Procedure fee is 4.000 GBP

Contact Information

First Name
Last Name  
     
 
City
State / Province
Country
     
 
Address
Zip Code
Email
     
 
Day Phone
Evening Phone
Mobile Phone
     
           
Sex Age
Profession
   Male     Female
 
 
Hair Type
Hair Colour
Hair Texture
Hair Type
  Thin
Medium
Thick 		  Straight
Wavy
Curly
Is there a family history of hair loss?
  Yes    No
At what age did you begin to notice a change in your hairline?
  Less than 20     21-30     31-40     41-50     Over 50
Baldness pattern?
  Class 1   Class 2   Class 3   Class 4   Class 5   Class 6
       
   
Are you interested to book a DHI Alopecia Hair test? (Read what a DHI Alopecia hair test is about, here)
  Yes    No
 
The following questions are optional and are intended make the follow-up to your online diagnosis more thorough and assist in making an informed diagnosis for your hair restoration procedure.
 
General Information

 I would like Session information about:
  Your minimally-invasive DHI hair restoration procedure
Other non-invasive options for my hair restoration
      
I would like information on scheduling a Session:
      Now                        Within two months
      Within six months   
   
Background Information

 What would you like to achieve with D.H.I. (for example: restore the front hairline, mid-scalp, back, or perhaps your entire balding area)?
 
Have you ever consulted with a doctor about a hair transplant?
  Yes    No  
 
What hair transplant treatment, if any, was recommended?
 
 
Have you undergone a surgical hair restoration?
  Yes    No
 What type of restoration procedure was performed?
 
Has your hair loss problem been treated with any of the following?
  Rogaine:           No    Past    Present
Saw Palmetto:   No    Past    Present
Propecia:          No    Past    Present
Other:              No    Past    Present

If other please indicate here:
 
Receiving Information

 Language Preference
   English     Greek     German
   
How did you find us?
 
Types of Consultation

 DHI offers four different Consultation formats:
  Live consultation through Web Camera (installed and operational on your computer)
By telephone:
      Please advise the best day and time for us to contact you
     
By email (you will need to provide our consultant with photos of your potential hair implant area)
Additional information you may wish to provide will be helpful.
 
 
 
Pictures

 Please provide up to three photos (maximum 500kb per photo in .jpg format) to assist in your diagnosis.
 
Photo 1:
 
Photo 2:
 
Photo 3:

 

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