Medical Consultation Get clear information treatment options and ongoing support with no obligation and no cost. Consultation Form CRM Treatment: Hair Transplant Dental Treatments Plastic SurgeriesPreviousNextSexual Disease: HIV Hepatitis B Hepatitis CMedical Condition Diabetes Hypertension Heart Problems Thyroid Auto-immun Scalp conditionsAllergies Antibiotics AnaesthesiaSpecial Medications I use special medicationsPlease enter the name of medications: PreviousNextSelect a Country– Select –USCanadaMexicoTurkeyUS Price Range– Select –$3,500 – $5,000$5,000 – $6,000$6,000 – $8,000Over $8,000VIPCanada Price Range– Select –$3,500 – $5,000$5,000 – $6,000$6,000 – $8,000Over $8,000VIPMexico Price Range– Select –$2,500 – $3,500$3,500 – $4,500VIPTurkey Price Range– Select –€1,000 – €1,500€1,500 – €2,500€2,000 – €3,500Over €3,500VIPSTD US Price Range– Select –$5,500 – $7,000$7,000 – $8,000$8,000 – $10,000Over $10,000VIPSTD Canada Price Range– Select –$5,500 – $7,000$7,000 – $8,000$8,000 – $10,000Over $10,000VIPSTD Mexico Price Range– Select –$3,500 – $4,500$4,500 – $5,500VIPSTD Turkey Price Range– Select –€1,800 – €2,300€2,300 – €3,300€3,300 – €4,300Over €4,300VIPSelect a Country– Select –USCanadaTurkeySelect a Country– Select –TurkeyPrice Range– Select –Normal PackageVIP PackagePreviousNextImage upload instructions for hair * Front hairline* Top view of the scalp* Left and right side views* Back of the head (donor area)Image upload instructions for dental • Front smile (teeth visible)* Teeth while biting (upper and lower together)* Upper teeth close-up* Lower teeth close-up* Side view if possible If you have X-rays panoramic photo or dental reports please also upload, this will make the review and consultation easier and faster and more detailedImage upload instructions for plastic * Front view of the area* Side views (left and right)* Additional angles if relevant Photo tips:* Neutral posture and expression* Natural lighting* No makeup, filters, or editing* Photos should be clear and recentImage UploadChoose File PreviousNextGender– Select –ManWomanFirst NameLast NamePhone/MobileEmailWhen do you want to get your treatment?– Select –As soon as possiblein 3 monthsin 6 monthI just want to get a consultation Previous Submit Form
