menu
Head Office: Head Office Surat [India]   Surat (India)    International Centers: USA USA   Canada Canada   South Africa South Africa   UK UK   Singapore Singapore   Hong Kong Hong Kong   Malta Malta   New Zealand New Zealand   Iraq Iraq   India Centers:Head Office Surat [India] Gujarat Surat Ahmedabad Gandhidham Navsari Vadodara Valsad Bharuch Maharastra Mumbai ( 2 ) Pune ( 4 ) Sangli West Bengal Kolkata Madhya Pradesh Burhanpur Indore Jabalpur Karnataka Bengaluru ( 3 ) Odisha Bhubaneswar Haryana Gurgaon Karnal Panipat Telangana Hyderabad Punjab Sirhind Uttar Pradesh Lucknow Chhattisgarh Raipur Rajasthan Jaipur Delhi NewDelhi
Center Code:
39
Alopecia Treatment Center Raipur
Dr Anay Chandrakar
* Field are mandatory !

   Registration for New Patient

1
General Information :
*Gender:   
Male    Female Other
2
Describe the patient's problem
3
Provisional diagnosis
Male pattern baldness
Female pattern baldness
Alopecia areata
Diffuse alopecia
Scaring alopecia
Traction alopecia
Telogen effluvium
Chemotherapy & hairloss
Trichotillomania
Others
4
Other medical conditions
5
Attach few pictures of affected area. (Max. file size 7 MB)
6
Payment Details
Paid at Branch
Will pay later

If your registration form is submitted successfully, you will get a confirmation message with PATIENT ID on your registered email address. Patient ID is necessary for any future communication .

  Registration for Follow-up Patient

1
General Information :
2
What changes did you notice after starting the treatment ?
3
Attach few pictures of affected area. (Max. file size 3 MB)
4
Payment Details.
Paid at Branch
Will pay later
 

CONTACT INFORMATION

Google Rating - 4.9 - Alopecia Treatment Center

National Support Centers

Gujarat ( 7 ) Surat (H.O.) Ahmedabad Gandhidham Navsari Vadodara Valsad Bharuch Maharastra ( 7 ) Mumbai ( 2 ) Pune ( 4 ) Sangli West Bengal Kolkata Madhya Pradesh ( 3 ) Burhanpur Indore Jabalpur Karnataka ( 3 ) Bengaluru ( 3 ) Odisha Bhubaneswar Haryana ( 3 ) Gurgaon Karnal Panipat Telangana Hyderabad Punjab Sirhind Uttar Pradesh Lucknow Chhattisgarh Raipur Rajasthan Jaipur Delhi NewDelhi

National Support Centers

Explore alopeciacure.com