Online Consulation

Make your appointment

Complete the online diagnosis and we will get in touch with you

Each case is evaluated by our medical team.

If you prefer, you can also contact us via email at info@clinicaoporto.pt

First and last name *

Date of birth / age *

City *

Country *

E-mail *

Mobile phone number *

Profession

Gender *

First language you understand and speak *

Second language?

Where did you hear about Dr. Pinto / Clínica O'Porto (online forums, whatsapp groups, social media, others…)?

Approximate age when you started losing hair

Medical history

Do you currently suffer from any medical condition (including infectious diseases such as HIV, hepatitis C or others)?

Have you ever suffered from any medical condition in the past? Have you undergone surgery, hospitalization, etc.? Please provide all
relevant details:

Are you allergic to any medication or local anesthetic? *

Do you have any skin condition? (dermatitis, flaking, folliculitis, tendency to hypertrophic or keloid scarring)

Provide details of any medication or health supplement you are currently taking (dosage, schedule, etc.)

Details of current medication for hair loss, including treatment history.

Do you think your hair loss is stable? Have you noticed if the medication seems to be effective (stabilization of loss, recovery of
miniaturized follicles)?

Family hair loss details / history

Hair loss details / history in your family (grandparents, parents, uncles/aunts, siblings). Try to classify them based on the image scale
(Norwood Scale).

Norwood Scale - hair loss
classification

Paternal family

Father

Paternal uncles

Paternal grandfather

Maternal family

Mother

Maternal uncles

Maternal grandfather

Have you ever undergone hair transplant surgery? Provide details (FUE/FUT, date, surgeon, number of follicular units, treated areas).

Area(s) of the scalp you would like to reconstruct or repair. Expectations regarding the hair transplant procedure.

Have you contacted other hair transplant doctors/clinics before this consultation? If any surgeon has already evaluated you, please
provide details of those evaluations.

Other details you consider relevant for your evaluation or procedure.

Images

Upload several photographs (hair can be dry or wet), one for each angle, as shown in the examples.

Photo angle examples for hair diagnosis

Photos

I have read and accept the terms and conditions and the privacy policy. *

Book your appointment

Check if you fulfil all the requirements you need to have a hair transplant.

Online Consulation

Appointment