Confidential Information Request

Call us to schedule your complimentary consultation, or use the chart below to send us your confidential profile.

We will contact you at your convenience to discuss your specific needs.

There is never any cost or sales pressure associated with a consultation. Feel free to come witha list of questions. Our goal is to educate you on all your options so you can make an informed decision on what is best for you.

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Name:
email:
Phone:
How did you hear about us: Web KOH radio Billboard Other radio Reno Gazette Journal ESPN TV CNBC TV Other
Number chosen from top chart: 2 2a 3 3a 4 4a 5 5a 6 7
Your age:
Are you still losing hair: Yes No Not Sure
Age when hair loss began:
Hair type: straight wavy tight curls
Have you ever used: Propecia Minoxidil neither

 

Surgical Hair Center of Nevada
5605 Riggins Court, Suite 102
Reno, Nevada  89502
(775) 829-8811
info@surgicalhaircenter.com