Submit Your Information

Send us your detailed information by filling out the form below. Let us get back to you as soon as possible. In order for us to follow the best path for you;

-Gender
-Age
-How long your hair has been shedding. (in years)
-Whether you are shedding in the front or in the middle and the size of the spill
If you answer our questions and send them to us, we will get back to you as soon as possible.