Alopecia Treatment Center
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Your Query

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1 Your Details
 
Name *   Age *  
Gender * Male Female
Address *
  (Type the correct address where your products to be sent)
Country *
Tel. * Alternative Tel.
E-mail * Alternative E-mail
2
Which type of alopecia do you suffer ? skip this if you don't know the type of hair loss or
click on the photographs to see different types of alopecia.
 
Alopecia areata Alopecia areata   Tellogen Effluvium Tellogen Effluvium
Alopecia totalis / universalis Alopecia totalis / universalis   Chronic Tellogen Effluvium Chronic Tellogen Effluvium
Male pattern baldness Male pattern baldness   Scaring alopecia Scaring alopecia
Female pattern baldness Female pattern baldness   Chemotherapy and hair loss Chemotherapy and hair loss
Diffuse alopecia Diffuse alopecia   Beauty Treatment and Hair loss
hair dye, hair colour, perming, straightening ect		 Beauty Treatment and Hair loss - hair dye, hair colour, perming, straightening ect
Traction alopecia Traction alopecia   General hair loss  
Trichotillomania Trichotillomania   Others  
3 Details of your problems
 

Please give complete details of your problems, mention all the treatments you had taken and any lab reports.
4 Attach pictures of affected area
 
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 send the pictures now, please send it later to info@alopeciacure.com (with Patient ID)
•
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.
5 Security Code ( * This is mandatory. This will help us to prevent automated registrations)
 
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The code is case sensitive.
 

NOTES

* If you have submitted your query successfully, you will get a unique Query ID at your email address. If you do not receive any Query ID at your email address, then please submit the form again.
* For common queries please visit FAQ
* Please do not request for any prescription.
 
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Holly McGuffin,
 

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Dr. Sacha Piedallu
 
 
Alopecia (hair loss) treatment
 
For Mumbai Patients

Dr Rohit's schedule for next three months The Founder of Alopecia Treatment Center, Dr. Rohit Shah personally visits Mumbai, every 2nd and 4th Sunday of the month. For prior appointment Call : 022-66989770, 26836187

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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.
 
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Alopecia Treatment Center (Formerly known as Herbal Treatment Center) Home Remedy Tips (15)
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Contact Information : Head Office
Alopecia Treatment Center (Formerly known as Herbal Treatment Center)
Dr. Rohit Shah, 1/3839 Nani Desai Pole, Opp. Rupal Hospital,
Soni Falia, Surat - 395 003. Gujarat. India.
Time: 1.00 to 6.00 p.m.     Tel: +91 261 2591146-47
Cell: 0091 94283 94100     E-mail: info@alopeciacure.com
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