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Please complete the information below in as much detail as possible. We will analyse your answers in detail and if you qualify, you can receive a hair replacement makeover with absolutely no cost or obligation.
How long have you been losing your hair for?
Has the rate of hair loss increased in the past year?
Indicate your current state of hair loss by checking the one illustration below that most resembles your hair loss condition.

Do you suffer from any of the following?
Do you have any family members (father, uncle, grandfather) who has suffered from hair loss?

Have you ever attempted any of the following
(check as many that apply)?

Full Name:
Postal Code:
When is the best time to contact you?
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How can we help? Online Consultation Hair Removal and Esthetics About Hair Loss Hair and Scalp Analysis Hair Loss Solutions

Thank you for visiting Freedom Hair Systems online. Please feel free to call, email, or request an online chat. We’re happy to answer any questions you may have about hair loss, IPL hair removal, Velashape® cellulite reduction, advanced hair and skin care products, as well as other medical esthetic procedures. We’re here to help