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Our Contact Information

Dermatex International
5703 Oberlin Drive
Suite 302
San Diego, CA 92121
To receive additional information on Virtual Reality and other Dermatex International services, please send us an email with your request and how we can contact you, or call us directly.

(866) 589-9957

 
 
 

 

     
 

Our consultations are held in a relaxing and private office setting with a highly trained and experienced hair loss consultant. The purpose of the consultation is to analyze your hair loss and advise you of the various solutions available.

There is no charge or obligation for this consultation. You will simply become more informed about your hair loss and today's options.

We are here to help! To meet and discuss your situation with a qualified hair loss professional, please fill in this confidential request for a free consultation. Upon receipt of your request,  a representative will contact you to schedule your appointment.

Please be assured that we take your confidentiality very seriously and there is no obligation.

 
     
 
 
  A field with an (*) indicates a required field. I have a hair loss problem.
How can we help you?
Gender(*)
Male Female
MALE
hair treatment virtual consultant
hair treatment virtual consultant

hair treatment virtual consultant

Which best describes your hair loss?:

 

 
Grade I
Grade II

Grade III

FEMALE
FEMALE - choose one
FEMALE - choose one

FEMALE - choose one

Which best describes your hair loss?:

 
Grade I
Grade II

Grade III

Which hair loss do you most likely have:
Characterize the hair on sides of your head?:
How long have you been losing hair?: 1-3 years 3-7 years 7-15 years Over 15 years
Characterize rate of your current hair loss?: Light Moderate Heavy
Which of the following have you tried or are you currently using?:

 (Check all that apply)

Hair Transplant

Hair Replacement

Wigs / Hair Extension

Medication/Rogaine/Propecia

Vitamins; special shampoos; etc

Laser

None of the above

What is your age range?(*):
    
First Name(*):  
Last Name(*):  
Street:
City(*):  
State(*):  
Zip(*):  
Country(*):
Email(*):  
Daytime Phone(*):
Evening Phone:
Best way to reach me:
How did you learn about us?
Inquiry:
 

 

 
     


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