Published On November 6, 2018. Last Updated on November 20, 2020.

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
    MDMBBSMBChB
    Other (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 ?

    Web searchISHRSYoutubeInstagramFacebookWorkshop
    Other (if other)