Ready to take the next step in getting your hair back? Just fill in this simple form. Our Patient Coordinators in conjunction with our Hair Transplant Surgeons will evaluate your case. You can also send your digital photos in a separate e-mail for an in depth analysis.
For residents outside the UK please send an email directly to info@hdc.com.cy
Personal Information
Name*
Surname*
Age*
Sex*
Profession
Country
City*
Post Code
Day phone*
Evening phone
Email*
Hair Condition
At what age did you begin to experience hair loss?
Baldness Pattern for Men:*
Class 1
Class 2
Class 3
Class 3V
Class 4
Class 5
Class 6
Class 7
Treatment Requirement
Do you have a preferred method for your hair restoration?
When are you interested in having your Hair Transplant?
Have you ever had surgical hair restoration performed?
Preferred consultation location
How do you prefer to be contacted?
General Comments:
If you would like to send your photos, please e-mail them to info@hdc.com.cy
This form does not reach us if sent from outside the UK. If you are out of the UK please send directly to info@hdc.com.cy
Privacy Policy:
Considering a hair transplant is an important personal consideration. Please be aware that if we call you we will discuss your case only with you. Your personal details will be treated with the strictest confidence and only used to deal with your information request.
