Laval 450 669-6737
Quebec 418 622-7271
Saint-Hubert 450 656-2323

Virtual consultation form for men

The information collected in the personal consultation form will allows us to have a detailed review with a PAI Medical Group hair consultant. Simply fill out this form and send it to us for a free, interactive consultation.
Consultations Hommes Eng

Personal information

Specific info

Do you think that your hair loss is genetic?
According to the chart below, which image best represents the current state of your hair loss?
Would you prefer to be contacted by telephone or email?
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