Schedule a Virtual Hair Restoration Consultation

Our virtual consultations make it easy to connect with Dr. Charles from the comfort of your home. During your private video appointment, you’ll discuss your hair restoration goals, explore treatment options, and receive expert guidance tailored to your needs—all without traveling to our office.

    * indicates required field!

    Contact Information

     

    Help Us Understand Your Hair Loss

    Please select photos of your hair loss patterns:*

    Norwood 2Norwood 2aNorwood 3Norwood 3aNorwood VertexNorwood 4Norwood 4aNorwood 5Norwood 5aNorwood 6Ludwig 1Ludwig 2Ludwig 3

    Which therapies have you tried? (check all that apply)*

    Propecia/FinasterideRogaine/MinoxidilLaser/LLLTHair TransplantationNatural Herbs/SupplementsShampoos/TopicalsOther

    Your Hair Restoration Goals (check all that apply)*

    Hairline RestorationIncreased DensityCrown CoverageStop/Slow HairlossOther

    Timeframe in which to proceed:*

     

    Questions/Comments:

    Photo Submission (Optional):

    Instructions: Please follow these examples for the angles of your head needed for evaluation. Each photo should NOT exceed 5 mb due to a limitation in the combined size of all images(there will be a warning if a file exceeds 5 mb.). All submitted images and information will be kept confidential, not be used or sold by any third parties, nor be broadcast publicly.

    Angle 1

    Angle 2

    Angle 3