Doctors – Hair Peace Foundation

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About Us
- Officers
Patients
- Patient Form
Doctors
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Patients
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Doctors
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About Us
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Patients
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You Can Make A Difference

Through their contributions, our doctors offer hope, healing, and renewed confidence to those in need, making a lasting and positive difference in their lives.

By joining the Hair Peace Foundation, you will have the opportunity to impact lives profoundly. Your expertise and time can provide crucial support to individuals facing traumatic hair loss and disfiguring skin conditions.

Hair Peace Foundation Volunteer Doctor Application

Name

Phone

Location

Skills and Expertise
Please describe your expertise level in hair transplant or other dermatologic surgeries.

Skill and Expertise

None Beginner level Intermediate level Expert

If experienced in hair transplant surgeries, please specify the type:

FUT Scalp FUE Beard FUE Body FUE Long hair FUE Afro FUE

Do you have expertise in treating scarring alopecias and other medical treatments for hair loss?

Yes No

Are you skilled in keloid and other hypertrophic scar treatments?

Yes No

Are you skilled in Acne Keloidalis Nuchae (AKN) and Folliculitis Decalvans (FD) removal surgeries?

Yes No

Do you have expertise in reconstructive surgery?

Yes No

Practice Information

Name of Practice

Years in Practice

Practice Location (City, State)

Availability
How many pro-bono cases are you willing to take annually?

Do you have expertise in reconstructive surgery?

1 2-3 4-5

Commitment

Are you committed to providing comprehensive care and support to patients throughout treatment?

Are you willing to collaborate with the Hair Peace Foundation team and adhere to our guidelines and protocols?

References
Please provide the contact information for two professional references who can speak to your skills and experience.

First Reference

Reference Name

Reference Phone Number

Reference Email

Reference Relationship

Second Reference

Second Reference Name

Second Reference Phone Number

Second Reference Email

Second Reference Relationship

Supporting Documents
Please attach any supporting documents, such as CV, medical licenses, certifications, or other relevant credentials.

Additional Information
Please provide any additional information about your background, experience, or motivations for volunteering with the Hair Peace Foundation you’d like to share.

Additional Information

Thank you for your interest in volunteering with the Hair Peace Foundation. Your dedication and expertise can make a significant difference in the lives of individuals facing traumatic hair loss and disfiguring skin conditions.

SCALP AND HAIR WELLNESS FOR ALL

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Home
About Us
- Officers
Patients
- Patient Form
Doctors
Contact Us

Home
About Us
- Officers
Patients
- Patient Form
Doctors
Contact Us

Contact Details

(310) 318-1500

1-800-499-DRUCLINIC

patient.care@dru.com

2121 N Sepulveda Blvd #200

Manhattan Beach, CA 90266

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You Can Make A Difference

Hair Peace Foundation Volunteer Doctor Application

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Contact Details

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