Hair Transplant Consultation Template
Norwood-scale image picker, donor-area assessment, contraindication skip-logic, WhatsApp redirect.
Free while in beta · No credit card required
About this hair transplant consultation template
Built for FUE / DHI hair-transplant clinics. The Norwood-Hamilton scale lets visitors who don't know medical terminology self-classify in two clicks. Contraindications (blood thinners, autoimmune, recent chemo) trigger skip-logic that sends those leads to a "specialist will reach out" track instead of booking. Closes with a personalized match-analysis screen + WhatsApp hand-off.
Conversion tips
Norwood image cards on page 1 outperform text radios by ~1.6× because the visitor self-identifies visually. Skip-logic for contraindications stops you from booking surgeries you can't safely perform.
Frequently asked questions
How does the Norwood scale work in this form?
Each stage shows a front-view scalp diagram. The visitor picks the closest match — no medical knowledge required. The selection is stored as `norwood_stage` so you can route by severity.
What happens when someone selects "blood thinner use"?
Skip-logic on the medical-history checkbox skips the calendar booking and routes them to a "specialist will call" path — surgical consults shouldn't be auto-booked for high-risk patients.
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Ship your hair transplant consultation in minutes.
Free while in beta · Server-side tracking included · Cancel any time