Schedule your appointment

Ready to experience expert hair care in a private and relaxing setting? Booking your appointment is easy! Simply contact us to find a time that works for you. Whether you're looking for a consultation, a custom hairpiece fitting, or a refreshing new style, we’re here to provide the personalized attention you deserve.

Book Now to secure your spot and let us take care of the rest!

Hair Restoration & Replacement Consultation Form

Thank you for choosing  Makeover’s Hair Restoration & Replacement Center LLC. Please complete this form prior to your consultation.

Client Information

Name: _______________________________

Phone: ______________________________

Email: _______________________________

Preferred Contact:
☐ Call  ☐ Text  ☐ Email

Hair & Scalp Concerns

☐ Thinning Hair
☐ Hair Loss
☐ Bald Spots
☐ Receding Hairline
☐ Alopecia
☐ Scalp Irritation
☐ Excessive Shedding
☐ Other: __________________

How long have you experienced this concern?
☐ Under 6 Months
☐ 6–12 Months
☐ 1–3 Years
☐ 3+ Years

Previous Hair Restoration/Replacement Services?
☐ Yes  ☐ No

Services Interested In

☐ Hair Restoration
☐ Hair Replacement
☐ SMP
☐ Microchanneling
☐ Infrared Light Therapy
☐ High Frequency Therapy
☐ Scalp Detoxification
☐ Consultation Only

Medical & Hair History

☐ Scalp Sensitivities/Allergies
☐ Medications Affecting Hair Growth
☐ Physician Care for Hair Loss
☐ Hormonal Hair Loss
☐ Stress-Related Hair Loss
☐ Traction Hair Loss

Hair Goals

Consultation Preference

☐ In-Person
☐ Virtual

Preferred Days/Times:

☐ I understand results vary and a consultation is required before services are recommended.