Laval 450 234-0877

Montreal 514 600-6566

Quebec 418 800-8724

Saint-Hubert 450 912-0356

Virtual consultation form for women

This personal consultation form is your chance to get in touch with a PAI Medical Group hair consultant. Simply fill out this form and send it to us for a free, interactive consultation.

Consultations Femmes ENG

Personal information

Specific info

Do you think that your hair loss is genetic?
Itching:
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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