Schedule a Consultation

Patient Portal

Patient Intake Form

Please fill out our medical intake form prior to your consultation or procedure.

Intake Form

Prescription Refills

If you need a refill for your 82m / 82f / Finasteride / or Propecia. Please fill out this form and we will process your refill the same business day if received before 3:00PM.
Refill Request Form

Lab Slips

If one of our staff members recommended blood work, you may download them here and bring them to your lab of choice.

Female Lab Slip
Male Lab Slip
Male PSA Form

Ready to change your life?

Stop worrying about hair loss, request a FREE consultation today!

  • This field is for validation purposes and should be left unchanged.
Whether you’re looking for hair restoration centers in Boston or hair restoration centers in Connecticut, the best hair transplant needs the best hair restoration surgeon. To get the best FUE or FUT hair transplant, choose DiStefano Hair Loss Restoration Centers.

Contact Us

Locations

292 Lincoln Street
Worcester, MA 01605

215 Toll Gate Rd. Suite 308
Warwick, RI 02886

  • New Hampshire

80 Palomino Lane. Lower Level: Unit 202
Bedford, NH 03110

  • Massachusetts

175 Bedford St. Suite 5
Lexington, MA 02420

  • Connecticut

100 Corporate Place
Rocky Hill, CT 06067

© 2023 Distefano All Rights Reserved.
DiStefano Hair Restoration Center
Call Us Today Book a Consultation

We Will Beat Any Written Quote in New England

X

We Will Beat Any Written Quote
in New England

X