Hair & Scalp Analysis – Personalized Dermo-Trichology & Hair-Loss Care

1. About you

First name Last name Email Phone

Primary concern

2. Symptoms & history

How long has this been happening? Scalp type

Check everything you are experiencing

Safety screening

Check any that apply. These may require medical evaluation rather than home-care recommendations.

Sudden or rapidly worsening hair loss Open sores, bleeding, pus, or drainage Severe scalp pain or swelling New or changing mole, growth, or dark lesion Fever or feeling acutely unwell with scalp symptoms

Anything else we should know?

3. Upload photos

Use bright, even lighting. Avoid filters. For best review, include front hairline, top/crown, and the area of concern.

Front / hairline photo Top / crown photo Close-up of concern Optional additional photo

4. Consent & submit

Human review included.

Your questionnaire, photos, and preliminary screening summary will be sent to MyHairCenters for professional review before final product recommendations are confirmed.