The MHP was designed for men and women experiencing alopecia and all forms of medically related hair-loss. We also design partial hairpieces for those experiencing thinning hair.



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First Name:

Last Name:

Street Address:

City:

State (XX):

Zip:

Phone:

Email:

Tell us more about yourself so we can better help you:

What is the nature of your hair loss?











When where you diagnosed? (mm/dd/yyyy)


When is the best time to call you? (ex: 5pm - 7:30pm)


Appointments preferred. Consultations are conducted in complete privacy. They are FREE and so is the advice.

Feel free to call us with any questions about the Medical Hair Prosthesis (MHP) at our toll free number: 1-800-374-4424

Our office is located at:
YourHAIRx
185 Madison Avenue Suite 900
New York City, New York, 10016


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