Hair Loss Solutions Hair and Scalp Analysis About Hair Loss Hair Removal and Esthetics Online Consultation How can we help?
Surgical options designed for you Exellent non-surgical options from Freedom Learn about our treatments Genetic Hair Loss Testing Hair Loss Prediction Analysis Facts About Hair Growth Hair Loss in Men Hair Loss in Women Hair and Make-Up artistry... Learn about VelaShape Body Sculpting Learn about safe, painless hair removal Skin rejuvenation services Online consultation for Hair Removal Online consultation for Women Online consultation for Men Contact us Shop online now Contact us Contact us
 
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:
Address1:
Address2:
City:
Province/State:
Postal Code:
Region:
Email:
Phone:
When is the best time to contact you?
Privacy Statement: The personal inforation collected here is for Freedom Hair System's professional consultants in order to help determine your eligablity for the free trial promotion. This information will not be sold or given out to anyone without prior permission of the submitter. Freedom Hair Systems keeps it's clients in touch with the latest discoveries, important developments and special promotions in the hair loss and hair replacement areas through our newsletter: "The Hair News".

To opt out of receiving "The Hair News", please click the following button:


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