Ready for Fuller, Natural-Looking Hair?

Let’s learn about your hair and explore your restoration options.

Where are you experiencing hair loss? *

Receding hairline — Temples and frontal hairline pulling back

Crown / vertex thinning — Thinning or bald spot at the top of the scalp

Both — frontal and crown — Hairline and crown affected

Diffuse overall thinning — General loss across the entire scalp

Scar or localized area — Due to surgery, injury, or alopecia

Part Line - Female Pattern Hair Loss

Eyebrow — Sparse, thin, or overplucked eyebrows requiring restoration

Beard — Patchy, uneven, or limited facial hair growth requiring enhancement

How long have you been experiencing hair loss? *

Less than 1 year — Recently noticed or just beginning

1–3 years — Progressive but in early stages

3–7 years — Moderate progression over several years

7+ years — Long-standing loss, stable or ongoing

The duration of your hair loss helps us understand progression and recommend the right approach.

How would you describe your current hair density? *

Noticeable thinning — still good coverage — Hair is present but visibly thinner than it was

Moderate loss — scalp visible in some areas — Clear patches or significant recession

Significant loss — large areas exposed — Most of the scalp visible on top

Advanced loss — minimal hair on top remaining — Only fringe hair on sides and back

What outcome matters most to you? *

Restore a natural hairline — Rebuild the frontal frame and temples

Increase overall density — Fuller hair across the top and crown

Stop or slow further loss — Non-surgical options to preserve what I have

Full restoration — hairline and density — Comprehensive result across the scalp

Have you explored hair restoration options before? *

No — this is my first time exploring this — Starting fresh with no prior treatment

Yes — medications (finasteride, minoxidil) — Have used or currently use medical treatment

Yes — PRP or other non-surgical treatment — Have received injections or scalp therapy

Yes — a prior hair transplant — Looking to improve or supplement previous work

What is your Zip Code? *

First Name *

Last Name *

What email should we use to send your assessment results? *

What’s the best number to text you about your consultation? *

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Medical Hair is a physician-led hair restoration clinic in Chatham, New Jersey, serving patients across New Jersey, New York, and Connecticut

+1 908-317-3038

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