Swank Full Service Salon: 3352 Rt 9 South Freehold, NJ | 1910 Route 70 East: Suite 10 Cherry Hill, NJ 08003
 
 
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Free Online Consult



Take a picture of the top of your head and upload HERE. This is required:
What Is Your Gender?
 
 
 
 
 
 
 
What is your age? (Age18-99)
Family history of hair loss?
 
 
 
 
 
 
 
When did you first become concerned?
 
 
 
 
 
 
 
 
 
 
Have you started or stopped any medications in past 4 months?
 
 
 
 
 
 
 
Seriously stressful event in your life recently?
 
 
 
 
 
 
 
Do you know your diagnosis?