DCDC Online Consultation Form

*Hair Transplant Consultation:

Crown, Vertex, Central Forelock Hairline, Temporal Angel Sideburns, Mustache Eyebrows

*Gender:

Male Female

*Choose the branch you prefer:

TAIPEI (Branch 1: 2F., No. 21, Ln. 75, Sec. 1, Da’an Rd., Da’an Dist., Taipei City 106, Taiwan ; Branch 2: No. 12, Ln. 190, Sec. 1, Dunhua S. Rd., Da’an Dist., Taipei City 106 Taiwan) HSINCHU (3F., No. 182, Ziqiang S. Rd., Zhubei City, Hsinchu County 302, Taiwan) TAICHUNG (3F.-2, No. 566-1, Sec. 2, Wenxin Rd., Xitun Dist., Taichung City 407 Taiwan) KAOHSIUNG (No. 180, Mingcheng 2nd Rd., Zuoying Dist., Kaohsiung City 813, Taiwan)

*What country do you come from:

*Your name:

*Leave your instant messenger ID (name of app + ID) for us to easily contact with you:

I am foreigner.

*Time available to contact:

10 : 00 ~ 14 : 00 14 : 00 ~ 18 : 00 18 : 00 ~ 20 : 00 20 : 00 ~ 22 : 00

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