Contact Us

Hair Transplant Sydney - Contact Us - All Enquiries Welcome Free Telephone Consultation Available Sydney NSW hair transplantations and hair loss restoration. Contact Us - unbiased advise and free consultation! Free Hair Transplant Consultation Sydney NSW Hair Transplant Sydney - Contact Us - All Enquiries Welcome Free Telephone Consultation Available - Contact Us.

Hair Transplant Sydney NSW
Contact Us

Please call Margaret, Sarah, Vanessa, Diem or Donna for an obligation-free phone consultation.

They will be able to assess your hair loss, address your concerns and offer options and unbiased information.

Freecall: 1800 689 939 (within Australia only)
International: +61 8 9389 6000

Or, fill out the form below and we will contact you.



Your Hair Loss Evaluation:
1. Your Age: Gender:
2. Your natural hair colour is? Black / Dark Brown
Gray 		Med Brown
Light Brown / Blonde / Red
3. Which best describes the texture of your hair? straight
wavy 		curly
4. What is the texture of your hair? fine
medium 		thick
5. Click on the image that matches your hair loss condition when your hair is wet.
     
6. Have you consulted with a doctor about your hair loss condition? Yes No
If so with whom?
7. Have you had a hair procedure before? If so with whom? Yes
No

8. Have you used any of these oral & topical medications for your hair loss?
Rogaine Past Present
Saw Palmetto Past Present
Propecia Past Present
Other Past Present
Your Contact Information:
Note - This form and any reply to it does not take the place of an actual in person consultation. It is merely intended to provide us with an initial idea of your condition and goals. With this information we can then give you an informed reply.

Items marked with ' * ' are required.
* First Name:
* Last Name:
Check here if you do NOT want any information mailed to your Street address.
* Street Address Line 1:
Street Address Line 2:
* City:
* State/Province:
* Post Code/Zip:
* Country:
Day Phone:
Evening Phone: - Check this if you wish to be called
* Email Address:
I want to be on the private newsletter list.
I prefer to be contacted by: email
phone
either