Hair Transplant History Questionnaire

Virtual Consultation

For patients who are unable to attend an in-office consultation, we provide a virtual consultation at no cost. Simply fill out the virtual consultation form and submit photographs showing your current state of hair loss.

Guidelines for Photographs

Please follow the guidelines listed below when submitting your photographs. This will allow your virtual consultation to be as close as possible to an in-person consultation.

When taking your photographs:

• Do not use a flash. Instead, take the photographs in a room with bright, natural lighting.
• Have the photographs taken from a distance of three to five feet.
• Keep the target in focus and centered in the frame.

When submitting your photographs:

• Use digital photos or print photos that have been scanned.
• Use jpg or jpeg file types.
• Do not exceed 4MB (4,000kb) per photograph. Larger photographs must be resized.
• If your photographs exceed the size limit, you may resize them by downloading PhotoResize800.exe (Windows only). After download, the PhotoResizer icon will appear on your desktop. You may then drag and drop specific photos or folders containing photos onto the icon. The PhotoResizer will then automatically resize the photos, creating smaller copies of them.

For your virtual consultation, we will require photographs showing the following angles:

1. The top of the head. A photograph showing the top of your head will provide us with an overall view of your current hair loss, including the degree of current hair loss as well as potential hair loss that may occur in the future.
2. Side profiles. Photographs showing the left and right sides, or profiles, also demonstrate the extent of hair loss.
3. The back of the head. Two photographs should be taken of the back of the head, or scalp. One should simply be a photograph of the back of the head. The other should be taken of the back of the scalp while you are pulling up a horizontal strip of hair in the donor area using your hand or a comb. This second photograph will help us to assess the density of donor hair.
4. Hairline. A photograph of the front hairline will allow use to see how your hairline frames your face. If you have an idea how you would like your hairline to look, you may demonstrate this by drawing your hairline on your scalp.

Photo Guidelines

So that we can provide the most accurate assessment possible, please use the following hair transplant photo guidelines:

• Submit digital photos or scanned print photos
• Use bright, natural room lighting. Do not use a flash
• Shoot from a distance of 3 - 5 feet
• Ensure that the area you are shooting is in frame and in focus
• Photos must not exceed 4MB (4,000kb) each. Please resize photos that exceed this limit.
• Acceptable photo file types are jpg or jpeg.

Provide photos showing the following angles:

Front hairline We need to be able to understand how your existing or new hairline frames your face. This is imperative for the review process. If possible, take some time to draw your hairline on your scalp to show us where you would like to have it placed. This helps us to understand your desires and expectations from the procedure.
The top of your scalp This gives us an overall view of your hair loss situation. The top view is important as it helps us determine the amount of existing hair loss and possible future hair loss.
Oblique profile The profile is very important in assessing the needs of our patients. The profile helps us understand the extent of hair loss.
The back of the scalp If possible, include a photograph with your donor hair pulled up either with your hand or with a comb. This helps us determine your donor density.