Virtual Follow-Up

Name(Required)
First Last
Please enter your birthday(Required)
When did you have surgery?(Required)
What type of surgery did you have?(Required)
Are you using any of the following?(Required)
- Laser Cap
- Propecia
- PRP
- Rogaine
- None of the above
Do you have any questions or concerns you would like to address with Dr. Stoller?
Photo Submission #1
Accepted file types: jpg, jpeg, png, gif.
Photo Submission #2
Accepted file types: jpg, jpeg, png, gif.
Photo Submission #3
Accepted file types: jpg, jpeg, png, gif.