Virtual Consultation with Dr. Harris

Thank you for your interest in a virtual consultation with Dr. Harris. Please follow the steps below to begin the process.

1. Fill out all fields in the form.
2. Press “Submit” after completing the form.
3. Dr. Harris will email you back within 24-hours.
4. Dr. Harris may determine that a video call would be helpful, this will be determined after you have your initial conversation with him.

Accelerated Surgery Two

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Name *

Email *

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Age *

Age when hair loss was noticed *

Describe your family's history of hair loss *

List previous hair restoration surgeries or treatments *

List medications you are currently on to treat hair loss *

Where are your areas of concern *

File Upload *

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Additional comments

By submitting this online form, you hereby expressly authorize and consent to Dr. James Harris, the Hair Sciences Center of Colorado, its management company, marketing consultants and any affiliates contacting you via automatic telephone dialing system, artificial or prerecorded voice message, text message or by email communication with promotional/marketing information and updates. I hereby confirm my willingness to receive messages to the phone number and/or email address that I provided. You are not required to grant this consent as a condition of your receiving services or purchasing anything from Dr. James Harris, the Hair Sciences Center of Colorado, its management company, marketing consultants and any affiliates.
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VIRTUAL CONSULT

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Virtual Consultation with Dr. Harris