Free Quick Consultation Hair Loss Consultation Please fill out the following form and we’ll contact you to discuss your options. Name* First Last Email* Phone*Gender*MaleFemaleAge*Closest Location*BismarckCarringtonFargoGrand ForksJamestownHarveyKenmareHow long have you experienced hair loss?*What steps have you taken to deal with your hair loss? Please be specific.*ex: Hair transplants, monoxidil, rogaine, etc.How often do you shampoo your hair and what do you use?*ex: product types and namesDo you have any conditions or disorders that contribute or could contribute to hair loss?*ex: Medical conditions or prescriptions you may be takingAre you currently taking any medications or vitamins to help with hair loss?*If yes, please explain. Find a Location Near You Visit our contact and locations page to find your nearest North Dakota location.