Alopecia Treatment Center Dr. Rohit's Natural Remedies For Alopecia
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Common Types Of Alopecia   Useful Ayurveda Herbs
 
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Free Registration Form for New Patient
 
1
General information
* Field are mandatory !
 
Name *
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Age *
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Add. *
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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   Beauty Treatment and Hair loss
hair dye, hair colour, perming, straightening ect
General hair loss   Others      
4 Do you suffer any other medical conditions ? like thyroid, diabetes, hypertension, depression, stress, Irregular menstruation cycle, constipation, anemia etc describe here...
 
5 Describe if you have done any lab reports like Thyroid, female hormones, DHT, serum, ferritin, any type of biopsy report etc. (Skip this if you have not done any lab reports)
 
6 Quality of your hair
 
Normal Oily Brittle Thin
Rough and Dull Dry Blond Wavy
7 Attach the Pictures of only affected area. Each picture file size should not be greater than 3MB.
 
1.
2.
3.
If the hair loss is visible then pictures are helpful to make the diagnosis and preparing products.
If you are not able to submit the pictures now, please send it later to info@alopeciacure.com
If you don't want to send the pictures, please see the page "Types of alopecia" and mention the picture no. similar to your problem.
Picture No. Picture No. Picture No.
8 Payment Details (If you have already paid to any of our support center or online payment)
 
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OR   I shall pay later
9 Security Code ( * This is mandatory. This will help us to prevent automated registrations)
 
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Notes
  • Registration is completely free. If your registration form is submitted successfully then you will get a confirmation message with patient id on 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.
 
 
 
Dr. Rohit Shah on Colors TV
 
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
 
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Treatment
After
Treatment

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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
     International Support Centers :
  USA Trichologist  Holly McGuffin   Trichologist Holly McGuffin
  Canada Akshay Banker   Akshay Banker
  UK Mrs. Bhavna Patel   Mrs. Bhavna Patel
  Malaysia Shirley Lai   Shirley Lai
  South Africa Dr. Sacha Piedallu   Dr. Sacha Piedallu
     India Support Centers :
  Surat (H.O.) Dr. Rohit Shah   Dr. Rohit Shah
  Ahmedabad Dr Sunil Shah   Dr Sunil Shah
  Valsad Dr. Sahil Masalia   Dr. Sahil Masalia
  Navsari Dr. Sahil Masalia   Dr. Sahil Masalia
  Vapi Dr. Sahil Masalia   Dr. Sahil Masalia
  Vadodara Dr. Bharat shah   Dr. Bharat shah
  Gandhidham Dr. Ashok D. Thakkar   Dr. Ashok D. Thakkar
  Ankleshwar Dr.K.H.Vekaria   Dr.K.H.Vekaria
  Mumbai Dr. Heena Quraishi   Dr. Heena Quraishi
  Kolkatta Dr Poonam Shukla   Dr Poonam Shukla
  Sangli (Maharashtra) Dr.Sonali Bapat    Dr.Sonali Bapat 
  Pune Dr Karuna Soni   Dr Karuna Soni
  Pune Dr. Sunita Chaudhari   Dr. Sunita Chaudhari
  Pune Dr Mahesh Bora   Dr Mahesh Bora
  Pune Dr Kinjal Sukhadia   Dr Kinjal Sukhadia
  Nasik Dr Shailesh Londhe   Dr Shailesh Londhe
  Indore Dr. Sanjay Kucheria   Dr. Sanjay Kucheria
  Bangalore Merlin Subhashini   Merlin Subhashini
  Bhubaneswar Dr Annada Prasad Dash   Dr Annada Prasad Dash
  Rourkela Dr Annada Prasad Dash   Dr Annada Prasad Dash
  Karnal (Haryana) Dr. Meenu Gandhi   Dr. Meenu Gandhi

 

 

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Types of Alopecia
Alopecia Areata
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Male pattern baldness
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Telogen effluvium
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Chemotherapy and Hair Loss
 
 
 
 
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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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