Alopecia Treatment Center
Dr. Rohit's Natural Remedies For Alopecia
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Head Office: Surat (India)    International Centers: USA    • Canada    • South Africa    • UK    • Singapore    • Malaysia    • Hong Kong    • Malta    • UAE          Indian Centers: Gujarat •  Surat (H.O.) •  Ahmedabad •  Navsari •  Vapi •  Valsad •  Gandhidham •  Vadodara Maharastra •  Mumbai (2) •  Pune (4) •  Sangli W. Bengal •  Kolkatta Madhya P. •  Indore •  Jabalpur •  Burhanpur Karnataka •  Bengaluru (2) Orrisa •  Bhubaneswar •  Rourkela Haryana •  Karnal •  Gurgaon Telangana •  Hyderabad Punjab •  Sirhind Chhattisgarth •  Raipur Rajasthan •  Jaipur Delhi •  New Delhi
Home » Start the treatment now » Followup Treatment Form  
   
 
Follow up treatment
Center Code Alopecia Treatment Center -
1
General information
* Field are mandatory !
 
Name *
Age *
  
Gender * Male Female
Add. *
City * Tel. *
Country * Alternative Tel.  
E-mail * Alternative E-mail  

Email Id is very important for future communication, please be careful while typing email id and make sure that you typed it correctly.

2 Description of your problem in your words
 
3
Which type of alopecia do you suffer ? Skip this if you don't know the type of hair loss or
click here to see different types of alopecia.
 
Male pattern baldness Female pattern baldness Diffuse unpattern alopecia
Alopecia areata Alopecia totalis / universalis Scaring alopecia
Tellogen Effluvium Chronic Tellogen Effluvium Chemotherapy and hair loss
Traction alopecia Trichotillomania General hair loss       Others
4 Do you suffer any other medical conditions? like thyroid, diabetes, hypertension, depression, stress, Irregular menstruation cycle, anaemia etc. Describe if you have any lab reports or biopsy.
 

5 Attach the Pictures of only affected area. (File size should not more than 3 MB )
 
6 Payment Details
 

7 Security Code ( * This is mandatory. This will help us to prevent automated registrations)
 
 
 
Notes
  • Registration is completely free. If your registration form is submitted successfully then you will get a confirmation message with patient idon your registered email address.If you do not receive your patient id then please submit your details again.
  • Patient id is necessary for any future communication,sending picture files, placing an order or follow up treatment.
  • After receiving your details , the team of our expert doctors will give their opinion within 3-7 days.
  • If you are not able to send online form click here to download the consultation form in MS Word format .
  • By submitting this form you are agreed to our terms and conditions.
 
 
1
General information
* Field are mandatory !
 
Name *
Age *
  
Gender * Male Female
Add. *
City * Tel. *
Country * Alternative Tel.  
E-mail * Alternative E-mail  

Email Id is very important for future communication, please be careful while typing email id and make sure that you typed it correctly.

2 Mention your Patient ID or name of the patient and select the branch where you registered first.
   
Patient Id or Name of the Patient:
*  
 
 
Doctor & Branch Name:
(Select the support center or name of the doctor, where you registered first time.)
3 What changes did you notice after staring herbal treatment ? describe in your words.
 
4 Attach the latest picture of affected area after starting the treatment.
 
5 Payment Details *
 
6 Security Code ( * This is mandatory. This will help us to prevent automated registrations)
 
 
 
Notes
  • Treatment package is specially designed according to country weather.
  • Abroad Indian patients are requested not to apply for Indian products but apply for
    the group of the country where they belong to.
  • Product will be send by Courier / Speed Post.
  • Online Tracking is only available if provided by Courier / Post / AirMail.
  • Approximate time to receive the products. For abroad patients 17-20 days ( depending upon the country).
  • Approximate time to receive the products. For Indian patients 7-10 days.
  • Product will be couriered after realization of Payment.
 
 
Video and Testimonials
 
clinic locator
 
Holly McGuffin, USA

Inspiring Journey
with
alopecia areata...

Trichologist
Holly McGuffin,
 

My 7 amazing days in India, to learn more about different types
of Alopecia

Dr. Sacha Piedallu
 
 
Quick Support
For new patients
For follow up patients
Cost and payment
What exactly in the treatment?
Want to start the treatment?
Want to send an E-mail?
Know your nearest branch
 
 
International Conference
Dr. Rohit Shah, in International Conference and Exhibition on Cosmetology & Cosmetics, which was held in November 23-24, 2012 Hyderabad, India. The conference was arranged by OMICS Group.Dr. Rohit explained how Ayurveda Herbal Treatment is safe and potential way to cope up with Alopecia Areata.
 
Articles
Unpredictable And Capricious Alopecia Areata (Dr. Rohits Article in Health and Nutrition )
 
Know more
Hair loss treatment
 
 
   
     Contact Information : Head Office  
Alopecia Treatment Center (Formerly known as Herbal Treatment Center)

 

  Alopecia Treatment Center
1/3839 Nani Desai Pole,
Nr. Maltiben's Hospital,
Soni Falia, Surat - 395003.
(Gujarat) India.
Phone : +91-261-2591146
Time : 1 pm to 6 pm (IST)
Email :   rohit@alopeciacure.com
Dr Rohit Shah   Ragini Shah
Dr Rohit Shah   Ragini Shah
     Head Office :
  Head Office Dr. Rohit Shah   Dr. Rohit Shah
     International Support Centers :
  USA Holly McGuffin   Holly McGuffin
  Canada Akshay Banker   Akshay Banker
  South Africa Dr. Sacha Piedallu   Dr. Sacha Piedallu
  UK Mrs. Bhavna Patel   Mrs. Bhavna Patel
  Singapore Dr Maitri Nagar   Dr Maitri Nagar
  Malaysia Shirley Lai   Shirley Lai
  Hong Kong Veena Dansingani   Veena Dansingani
  Malta Doris Inguanez  LCGI   Doris Inguanez LCGI
  UAE Seema Shah   Seema Shah
     India Support Centers :
  Ahmedabad Dr Sunil Shah   Dr Sunil Shah
  Navsari Dr. Sahil Masalia   Dr. Sahil Masalia
  Vapi Dr. Sahil Masalia   Dr. Sahil Masalia
  Valsad Dr. Sahil Masalia   Dr. Sahil Masalia
  Gandhidham Dr. Ashok D. Thakkar   Dr. Ashok D. Thakkar
  Vadodara Dr. Bharat shah   Dr. Bharat shah
  Mumbai Dr. Heena Quraishi   Dr. Heena Quraishi
  Mumbai Dr. Niti Shah   Dr. Niti Shah
  Pune Dr Karuna Soni   Dr Karuna Soni
  Pune Dr. Sunita Chaudhari   Dr. Sunita Chaudhari
  Pune Dr Kinjal Sukhadia   Dr Kinjal Sukhadia
  Pune Dr Mahesh Bora   Dr Mahesh Bora
  Sangli Dr.Sonali Bapat   Dr.Sonali Bapat
  Indore Dr Sanjay Kucheria   Dr Sanjay Kucheria
  Jabalpur Dr. Akash Gupta   Dr. Akash Gupta
  Burhanpur Dr Saroj Lad   Dr Saroj Lad
  Jaipur Dr. Fiyonika Porwal   Dr. Fiyonika Porwal
  Karnal Dr. Meenu Gandhi   Dr. Meenu Gandhi
  Gurgaon Dr Sonal  (Garg) Agarwal   Dr Sonal (Garg) Agarwal
  New Delhi Dr Dipti Nagar   Dr Dipti Nagar
  Sirhind Dr. Deepika Suri   Dr. Deepika Suri
  Raipur Dr Anay Chandrakar   Dr Anay Chandrakar
  Hyderabad Dr  Annam Agnishikha   Dr Annam Agnishikha
  Bengaluru Dr. Shilpa Rao   Dr. Shilpa Rao
  Bengaluru Merlin Subhashini   Merlin Subhashini
  Kolkatta Dr Poonam Shukla   Dr Poonam Shukla
  Bhubaneswar Dr Annada Prasad Dash   Dr Annada Prasad Dash
  Rourkela Dr Annada Prasad Dash   Dr Annada Prasad Dash
 
 

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Cost and Payment
Abroad Patient
Abroad Indian Patient :
Neighboring Country
Indian Patient
 
Results
 
Testimonial
Indian Patient
International Patients
 
Education
 
Start Treatment
Registration Form
Follow up treatment
Pay now
 
Types of Alopecia
Alopecia Areata
Scarring Alopecia
Male pattern baldness
Female pattern baldness
Telogen effluvium
Tricotilomania
Traction Alopecia
Chemotherapy and Hair Loss
Home Remedy Tips
Hairloss due to anemia
Hairloss (any type)
Hairloss due to color and dye
Premature graying of hair
Pattern Baldness
Dandruff
Lusterless, dull hair
Menopause and Hairloss
Pediculosis
Ultimate haircare tips
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