• TĀJI Restoration Pre-Consult Inquiry Form

    Functional Trichology & Holistic Hair and Scalp Health.
  • This short form helps us understand your hair and scalp concerns before your complimentary 15-minute consult. It takes under two minutes to complete.
  • Format: (000) 000-0000.
  • Preferred Location*
  • Your Virtual Consultation Our virtual consultation is a comprehensive 60-minute session ($325), designed for clients outside our NYC and Atlanta service areas. During this session, we'll discuss your health history, lifestyle, and hair and scalp concerns in depth, and outline a personalized path forward. Following your virtual consult, our at-home alopecia genetic DNA testing kits can be ordered and drop shipped directly to you as part of your ongoing assessment and care, when requested. Inquire about the TrichoTest during your session.
  • Virtual Consultation*
  • How long has this been going on?*
  • Have you had any prior testing or treatment for this concern?*
  • The Crown Assessment is our comprehensive 90-minute in-clinic evaluation, investment $800. It is the recommended starting point if you are new to functional trichology or have not had prior testing. The Crown Assessment is not required to book with us. Several services are also available on their own, without completing an assessment first, including Root Reveal, Purify Reset, The Revival Treatment, and Peptide Restore.
  • Which best describes you?*
  • hello@tajirestoration.com • 347.896.TAJI (8254) • tajirestoration.com
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