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Online Evaluation - Beard
Você tem antecedentes de calvície na família?
Who in your family has or has had baldness? Required
Have you ever had any kind of beard treatment?
Which treatments have you done? Required
How do you define your hair type?
What is the shade of your hair?
Have you ever undergone any type of hair transplant procedure (beard or hair)?
Do you have or have you had any of the following conditions or diseases: obesity, severe heart disease, diabetes, immunosuppressive diseases or infectious diseases (hepatitis, syphilis, HIV, others)?
What would you like to change in your beard (please tick the corresponding alternatives)? Required

Now we will need you to send us 4 photos according to the models below. It is very important that the photos are taken with good lighting, that they have a good resolution and that they are sharp.

207e2cf1-593d-4176-91d4-5772721bb89d.JPG
File Upload
(máx. 15MB)
f54108b3-ac0b-4bfe-984f-5fe4550552da.JPG
File Upload
(máx. 15MB)
16d5cfbe-b338-45e8-ba27-5cd6eaff0d8a_edi
File Upload
(máx. 15MB)
16d5cfbe-b338-45e8-ba27-5cd6eaff0d8a.JPG
File Upload
(máx. 15MB)

(Photos will be uploaded and within 15 seconds a confirmation message will appear below)

Thanks! Your registration was successfully sent.

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© 2020 by Dr. Marcio Ravagnani

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