Are you a doctor or clinic interested in offering Dr.UGraft™ procedures to your patients? Start the process by filling out this registration form and submitting your information.

Clinic Name (required)
Your Name (required)
Clinic Website
Address
Phone
Email

Primary Specialty

Country(s) state of Licensure

Medical Degree or license of clinic's doctor
MDMBBSMBChBOther (please explain)

country of certification

Procedures Commonly Performed?

Hair Restoration Procedures:
FUEStrip surgeryBody hair transplantation (Use of body hair as donor)FUE in Afro-textured hairBody hair restoration (Restoring body hair with head or body hair)Eyelash restorationEyebrow restorationFlap surgeryScalp reductionPRPAcellLaser hair restorationOthers

Non Hair Restoration Services:

FUE Level of Experience

Number of Years

I need training
Previous FUE Tools Used

How did you learn about Dr.UGraft ?

MDWeb searchMBChBYoutubePress releaseFacebookWorkshopOther (if other)

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