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Intake form

Hair transplant / Forehead reduction

Get your personal free hair plan

Full Name
Date of birth
In which country do you live?
Questions and details
The more you fill in, the better we'll be able to help!
What bothers you most about your current hairline?
Do you suffer from hair loss?
When would you ideally like to have the treatment?
What is currently holding you back?
Do you already have a budget in mind?
Why are you considering a hairline lowering procedure?
How familiar are you with hairline lowering?
Are you interested in going to the clinic in the Netherlands or Turkey?
How would you prefer us to contact you?
Please send pictures of your hair (front, the sides and back side)
If you woke up tomorrow with your ideal hairline, how would that change your life?