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Hair Transplant
[step title "Étape 1"]
Your Profile:
ManWoman [/step] [step title "Étape 2"]
Hair Medical Questionnaire:
Have you ever had a hair transplant?
yesNo
High blood pressure?
Heart disease?
Anaesthetic reactions?
HIV?
Hepatitis?
Smoker 2
Alcohol 2
yesNo [/step] [step title "Étape 3" previous "Précédent" next "Suivant"]
Hair Photo 1Hair Photo 2Hair Photo 3Hair Photo 4
[/step]
Dental Care
Dental Medical Questionnaire:
Do you suffer or have you suffered from periodontal disease?
Do you suffer from gum recession?
Do you have loose teeth?
Are you diabetic?
Dental Picture 1Dental Picture 2Dental Picture 3Dental Picture 4
