Call Today: (973) 227-8300

435-437 Hollywood Ave. Ste 14 Fairfield, NJ

American Hair Loss Council

Consultation Forms

In order to provide the best service possible, we request that all new patients fill out our consultation forms prior to your first appointment.

Please download the forms below, fill them out, print, and bring to your first appointment.

If you have any questions, please contact us at or call (973) 227-8300.


Schedule a FREE Skin & Body Consultation or Complimentary Hair Analysis. Call: (973) 227-8300

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