Consultation request

Begin with a private conversation.

Whether you are considering your first hair system or already wear one, tell me a little about where you are now and what you would like help with.

Submitting this form does not book an appointment or commit you to anything. I will review your request personally and contact you to discuss the most suitable next step.

About you

First name*Last name*Email address*Mobile number*Postcode*

Where you are nowWhich best describes you?*What would you like help with?*Tell me a little about your hair loss or current system, and what you would like to achieve.*When are you hoping to begin?*

Add a photographPhotograph Optional

One clear photograph helps me understand your hair loss and give you more relevant guidance. Please avoid using hair fibres or concealers in the photograph.

If you already wear a hair system, a photograph of it fitted is still useful. I may need to see it removed during your consultation to assess your scalp, natural hair and current system properly.

Getting in touchHow would you prefer me to contact you?*Is there a particularly suitable time to contact you? Optional I understand that The Refinery will use the information I provide to respond to my consultation request. I have read the Privacy Notice.

What happens next?

Personally reviewed by Tom.

I will review the information you have provided and contact you to discuss your circumstances, answer any initial questions and, where appropriate, arrange a private consultation at The Refinery.

No automatic booking and no pressure. Just a straightforward conversation about what may be right for you.