Contact Us

Contact Information

Av. Lavandisca, 777, 3º andar

Moema, São Paulo - SP

+55 (11) 3853-9175
WhatsApp:+55 (11) 93801-1653

Working hours
Tuesday to Friday:: 09h as 19h
Saturday: 09h as 18h

Pre-consultation form

This is our pre-consultation form, made to optimize your evaluation.

All information registered here is protected and strictly confidential.

    Name
    E-Mail

    Age

    Phone number

    Have you noticed hair shedding lately?

    Do you have any relative with baldness?

    Do you use specific products to treat your scalp?

    Have you ever had medical hair treatment or supervision by a hair specialist doctor (trichologist)?

    Do you think your hair does not grow as it should be?

    What is your degree of baldness?

    Would you like to receive our newsletter?

    Do you have any questions or concerns? If so, please leave your message bellow: