Hair transplant diagnosis - Capillary Transplant in Madrid

Free online diagnosis

If your are thinking in a hair transplant, now is your moment. Fill this form and Dr. Espinosa Custodio will review your case and will offer a diagnosis for you characteristics by email. However, to know an exact evaluation, you should have a face-to-face consultation or a video-call one.

Name and surname *
Age *

SexMaleFemale

Country of residence *
Email *
Phone (include international prefix)*

What service do you need?Hair transplantHair treatment (PRP/PRF or mesotherapy)

Which zone do you want to recover?Fronthair entrancesMiddle zoneVertexEyebrowsBeardScars

What expectations do you have for your hair transplant?

Did you have a previous hair transplant?YesNo

When would you like to perform the treatment?

Where would you like to perform the treatment?Madrid (Spain)Mexico

Do you have history of baldness in the family?NoFatherMotherUncles/AuntsGrandparents

Do you use some of this medicine?FinasterideTopical FinasterideDutasterideTopical DutasterideMinoxidilTopical Minoxidil

How long have you been taking those medicines?

How did you know about us?FamilyInternetSocial NetworkMediaBest Hair ClinicsAsesoramiento capilar (Michael & Towers)Hair Transplant NetworkBald Truth TalkSpexHairOthers

How do you prefer us to contact you?? *
What time do you prefer to contact you? *
Query:

Please, we need some photos like we show you below.

Attach them in a mail to info@drespinosacustodio.com. Please, fill the email subject with 'Diagnosis' followed by your name and surname.

I have read and accept the privacy policy*

BASIC INFORMATION ABOUT DATA PROTECTION OF CAPILLAR MEDICINE BY DR. ESPINOSA CUSTODIO

Responsible: HIRAM ABIF ESPINOSA CUSTODIO. Purposes: Respond to your requests and send commercial information of our services. Legitimation: Consent of the interested party. Recipient: The transfer of data to third parties is not provided, except legal obligation. Rights: You can withdraw your consent at any time, as well as access, rectify, delete your data and other rights at info@drespinosacustodio.com. Additional Information: You can expand the information in the following link: Privacy policy.

«The professional team of Dr. Espinosa Custodio are specialized in offering an exclusive, honest, high-precision and personalized service to the situation of each patient in order to obtain optimal and totally natural results.»

Free online diagnosis

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