The Hair Oracle Hair Loss Profile & Consultation Form
The following questions will help to discover reasons why you are experiencing Hair Loss, Alopecia, or Slow Growth. The Hair Oracle will help you to better understand, available options on how to stop shedding, breakage, or hair loss from occurring if applicable . Together we will create a Blueprint for Healthy hair regrowth and maintenance. Please know all information will remain confidential.
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MEET YOUR HAIR COACH
 The Hair Oracle understands that Hair Loss is a sensitive subject. Please do your best to fully complete this form with the most up to date information possible . Please acknowledge that you agree to submit this information with the understanding that we are not making claims nor promises concerning  your hair loss. Each case is unique and will require a different systematic approach. The Hair Oracle is gathering information to give you the best possible options for your current  issues concerning hair damage, shedding or loss. The Hair Oracle is not claiming to be a medical doctor . Charla D. Saloane  is a Master Cosmetologist that specializes in the science of Healthy Hair and Healthy Hair Restoration. Charla  understands the causes affecting or preventing Healthy Hair growth that can lead to hair damage ,breakage and eventually hair loss. If Charla deems it necessary,  based off of your answers and an in depth consultation,  you will be referred to a  physician. The Hair Oracle will provide you with and understanding and the truest options regardless of you hair situation. Please select yes to proceed to the  consultation form.     *
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