Forms

The following forms are required for a consultation with Dr. Gabel. This will give him the most complete information on your hair loss history so he will be able to provide you with the best treatment options for hair loss and surgical hair restoration. Please download this form to fill it out.

  • Patient Registration, History Form and Office Forms:
    • We highly recommend that you use Adobe Reader to fill out these forms. They are all in one PDF for ease of use.
    • Patient Registration: Demographics
    • Patient History Form: This form contains vital information for the patient to complete prior to your consultation with Dr. Gabel. Please fill it out completely and to the best of your knowledge. Please bring it with you at your appointment time or send it back to the Gabel Center prior to your appointment.
    • Request for Confidential Communications Form
    • Medical Prescription Policy Form
    • Telehealth Informed Consent Form
    • Photographic Authorization and Release Form
    • Notice of Privacy Practices, Patient Rights and Responsibilites Form

Contact Us

  • Our team will be in contact with you shortly via phone call and/or email.

There is no guarantee on hair restoration results. Individual results may vary.
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