Contact the Kirwan Hair Restoration

To book an appointment, please complete the form below or
call 203.358.8022 Monday to Thursday, 9.00 a.m. to 5.00 p.m.,
Fridays 9:00a.m. to 1:00 p.m.

Consultations are scheduled for a minimum of one hour.

Please Note! We respond to all messages which include a valid email return address, so if you do not receive a reply then please check your return address. Fields marked with (*) are required.

First Name:	*
Last Name:	*
Home Phone:	*
Work Phone
Address Line 1:	*
Address Line 2:
City:	*
State:	*
Country:	*
Zip code:	*
Email Address:	*

Please tell us how you want us to contact you.

Home phone Work phone Email *

We regret we cannot answer specific questions about your medical condition via email. If you have a question about fees or your consultation please ask it below. Only questions related to fees and consultations can be answered from this form. Whether a procedure or treatment is right for you can only be determined by an examination at the time of an office consultation.