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Register for the Patients’ Choice Vote 2020
Register to Vote
Contact details:
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Demographic Information:
Age:
(required)
16-18
19-25
26-35
36-45
46-55
56-65
66-75
76 and over
Type of Hair Loss
(required)
Alopecia Areata (including totalis and universalis)
Scarring Alopecia (including LPP, FFA, CCCA)
Androgenetic Alopecia
Telogen Effluvium
Permanent Chemotherapy induced alopecia
Traction alopecia
Other
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