new client form mesh integration

New Client Form
Mesh Integration

Thank you for your interest in mesh integration services. To request an appointment: Please fill out this form and I will respond within 2 business days with any follow up questions.

Mesh Integration, Made More Accessible! You can now invest in your mesh integration with flexible payment options through Affirm.

Flexible payments. Beautiful results.
Book your consultation today.

First Name

Last Name

Phone

Are you experiencing Hair Loss? Required

Yes

Have you had a diagnosis for your hair loss type? If so, please give details below

Check the box that best describes your hair density Required

Thinning all over

Thinning on top

Thinning in back or sides

What length is your hair Required

above shoulders

shoulder- collar bone

mid-back

extra long

Please tell me what you like about your hair

Please tell me what you dont like about your hair

What Hair Extension Length are you interested in Required

above shoulders

shoulder-collar bone

below shoulders

midback or longer

If you are comfortable..Please Upload 3 photos of your natural hair and one inspiration photo.
-Please take photos outside in natural light or near a window, make sure you are facing the light if standing in front of a window. Inspiration photo required.

Front View of your hair

Upload File

Upload supported file (Max 15MB)

Side View of your hair

Upload File

Upload supported file (Max 15MB)

Back View of your hair

Upload File

Upload supported file (Max 15MB)

Please upload a picture of your hair inspiration (REQUIRED)

Upload File

Upload supported file (Max 15MB)

Before your request to book please review our following policies.

CANCELLATION POLICY:
We kindly ask for a 48 hour notice to cancel or reschedule. Failure to give proper notice will result in a 50% charge of your service price scheduled.

DEPOSIT POLICY:

A 50% non refundable deposit will be required for all Extension or Mesh Integration appointments at the time of booking which will be applied to your service total on the day of your installation appointment.

I agree to the Cancellation Policy

I agree to the Deposit Policy

Thank you so much for submitting!
I will respond in 2-3 business days.

If you are comfortable..Please Upload 3 photos of your natural hair and one inspiration photo. -Please take photos outside in natural light or near a window, make sure you are facing the light if standing in front of a window. Inspiration photo required.

Front View of your hair

Side View of your hair

Back View of your hair

Please upload a picture of your hair inspiration (REQUIRED)

If you are comfortable..Please Upload 3 photos of your natural hair and one inspiration photo.
-Please take photos outside in natural light or near a window, make sure you are facing the light if standing in front of a window. Inspiration photo required.