Welcome to the of the International Hair Institute
ON-LINE CONSULTANT

Name:
Last Name:
Birth day:
day/month/year:
   
Country:
City:
Address:
e-mail:
My hair in the back
and sides of my head (donor site) is:
     
Color Type Caliber
black
straight
heavy
brunet
wavy
normal
blonde
curly
fine
gray
  
 
red
  
 
According to the International Baldness Classification, my case matches the following grade:

2   3   4
   
   
   
Female Classification
1
2
3
 

The information you provide us will be managed as coinfidential and will be use only
in order to answer your on-line consult.

Clinica Alferez Real
Miguel Claro 996 Providencia - Santiago de Chile
Email: jtrevi69@yahoo.com