Mathis Medical Marketing & Management GmbH
Lohrihof 11
CH-6404 Greppen


Please fill out the form below to the best of your ability. This will take it easier for us to assess your hair situation. Thank you.
Affected sites
sehr schГјtter
starker Haarausfall= Praventivbehandlungen werden empfohlen
schutter= 1 Behandlung
sehr schutter= 1-2 Behandlungen
kahl= 2-3 Behandlungen
Hair structure
Personal details
Family history
Please enter hair situation using the numbers in the graph above.
General medical history - personal and confidential Important questions concerning your health
Do you suffer or have you ever suffered from:
Thank you for taking the time to fill in these details. You have now completed the first step.

With this information we can now offer you advice appropriate to your personal situation. A consultation lasts 1 to 1½ hours.
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