Vcare clinic E-Treatment

Do you have :

Baldness
Bloody Scalp
Dandruff
Excessive Oil

Grey Hair
Heavy Hair Fall
Mild Hair Fall
Moderate Hair Fall

Patches
Scalp Itching
Silvery Scalp

Health Issues at present and in the past :

Allergies if any:

Medication/treatment taken for this health issues:

Surgeries Undergone:

Diet:

Vegetarian Non Vegetarian

Water Intake:

1-2L 2-3L 4L

Food Allergies:

Sleeping Hours (per day):

5-6 Hours 6-7 Hours 8-9 Hours

Sleeping Time:

8-9 9-10 10-11 After 11

Head Washes:

Alternative Days Daily Weekly Once Weekly Twice

Products Used:

Hair Drying:

Yes No

Description of your problem in your words

Do you suffer any other medical conditions like thyroid, diabetes, hypertension, depression, stress, Irregular menstruation cycle, constipation, anemia etc describe here...

Describe if you have done any lab reports like Thyroid, female hormones, DHT, serum, ferritin, any type of biopsy report etc. (skip this if you have not done any lab reports)