Hair Replacement, Hair Transplants, Repair
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Expert advice on Hair Transplants and Repairs in New York and New Jersey


Photo Consult

It is always best to have a personal one-on-one consultation with Dr. Bernstein, so that he may evaluate you and offer specific recommendations. Click here to schedule an in-person consultation.  If you live outside the tri-state area (New York, New Jersey, Connecticut) and are unable to come in for an evaluation for a surgical transplant, you can use our photo consultation form below. After reviewing your information and photos, Dr. Bernstein will contact you by e-mail.

If you would you like to have a photo consultation with Dr. Bernstein, please complete the form, and upload your photos below:
* Required fields  
* First Name:
* Last Name:
* Email Address:
Phone:
Address:
* City:
*State/Province:
Postal Code:
* Country:
Age at which your hair loss began:
* Date of Birth
* Current Age
* Gender Male
Female
Relevant medical history, i.e. one that that might affect hair transplant surgery (such as diabetes):
Relevant surgical history i.e. one that might affect a hair transplant procedure (such as keloid formation, bleeding disorder ):
Previous hair transplant procedures or other types of hair restoration surgery. Please indicate dates and type of procedure (if known):
Began Propecia:
Began Rogaine:
Other:
Please send only the most representative photos. A front view (either full-face or eyebrows-up), ¾ view, and a top view are the most helpful.
NOTE: PHOTOS MUST BE JPG FORMAT
Front view (either full-face or eyebrows-up)
¾ or side view
Top view
Rear view
If you prefer to mail your photos, please send them to:

Bernstein Medical, P.C.
110 East 55th St., 11th Fl
New York, NY 10022
How did you hear about us?
Other Referral:
Comments:
* Required fields  

BCM Box 3736, London, WC1N 3XX   00 1 212-826-2400
contact@bernsteinmedical.co.uk