Patient Forms/Instructions

The Wise Institute for Hair Restoration offers the following online resources to help you prepare for your appointment with us. Patient intake forms, pre-operation instructions, and post operation instructions are all available for download here. We believe that the more information we provide the better the patient experience becomes. Please take a moment to read over these helpful resources and fill out the patient intake forms in preparation for your appointment with us.  At Wise Institute for Hair Restoration, we are dedicated to excellent patient care and look forward to serving you.

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New Patient Intake Forms
If you are a new patient and already have a consultation scheduled with Dr. Wise, we recommend completing your demographic and medical history information via our online portal. Simply enter your last name and your unique security code, to create a username and password and then log in to provide us with your information. Rest assured that all information provided is strictly confidential, secure and HIPAA compliant.

FUE Pre-Post Operation Instructions

FUT/Strip Method Pre-Post Operation Instructions

Hair Restoration Patient Intake Form

Medications to Discontinue

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FUE Hair Transplant and PRP

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Complimentary Consultation

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Hair Restoration Special! - Offer ends on February 29th View Offer

Hair Restoration Special

Receive a complimentary Platelet Rich Plasma (PRP) treatment with a FUE/FUT Hair Transplant Procedure