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
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    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 ?

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