Medecap

FORM

You can fill out this form for an initial assessment of your case; subsequently, you will need to attend an in-person consultation at the clinic.

Photographs

These are the views with wet hair combed back required for an initial assessment. If you are unable to submit the form, it is because you have not attached one of the six required photographs.

Fill out the form

Preliminary diagnosis

An approximate diagnosis can be obtained from photographs, but the definitive diagnosis is made during the consultation. Microscopic assessment of the donor area is essential for an accurate diagnosis.

All patients must attend an in-person consultation before surgery.

If you have not received your diagnosis within 24–48 hours, check your spam folder if you have a Hotmail account.