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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.

Description of your problem in your words

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

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Do you want to schedule Skype live consultation with Dr. Rohit Shah ? *Skip this if you are not interested.

Live Consultation Fees:

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* Conferencing time will be given later. * Preferred languages English or Hindi.

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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 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.

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.

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.)

What changes did you notice after staring herbal treatment ? describe in your words.

Attach the latest picture of affected area after starting the treatment.

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5	Payment Details

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.

Quick Support

New patient registration

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What exactly in the treatment?

Cost and payment

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Follow up patient registration

Know your nearest branch

Types of Hair Loss

Read Global Testimonials

"I am forever grateful to Dr. Shah. His natural treatment has been life changing for my daughter."

Karin Darella USA

"I sincerely would like to thank Dr Shah for the miracle cure."

Cheryl Heng, Canada

"A really professional service, which I have not found in Europe, because it has the Indian touch of caring."

Yasmine, Switzerland

"I'd like to share my alopecia areata story with you to give you hope and comfort. You really CAN win with this awful disease!"

Malgorzata, Poland

"Where there is a Will, there is a Way!"

Veena Dansinghani, Hong Kong

"Now I strongly believe that herbal treatment is the only safest way to treat hair loss problems."

Dragana, Serbia

"Thank you Dr. Rohit for offering hope and a solution to people who are suffering from hair loss."

Trina Brown, USA

"The therapy process is simple. Using the oils and paste are very convenient."

Elada Eladashvili, Georgia

"I recommend Dr Rohit's Natural Treatment for anyone who suffers alopecia areata."

Prof. Dhaliwal, India.

"I advice everyone to use Dr. Rohit's therapy."

Roberta, Italy

"My experience of being a patient of Alopecia Areata went from a nightmare to a blessing in disguise."

Holly McGuffin, USA

Video Testimonials

International Centers

India Centers

Gujarat

Surat (H.O.)

Ahmedabad

Navsari

Vapi

Valsad

Gandhidham

Vadodara

Maharastra

W. Bengal

Madhya P.

Karnataka

Orrisa

Haryana

Telangana

Punjab

Uttar P.

Bihar

Chhattisgarth

HImachal P.

J & K

Uttarakhand

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Andhra P.

Jharkhand

Goa

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Arunachal P.

Assam

Meghalaya

Mizoram

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Sikkim

Tripura

Manipur

Delhi

A & N I

Chandigarh

D & N H

Daman & D.

Lakshadweep

Puducherry

For Mumbai Patients

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

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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