History and timeline
Onset, progression, family history, medical and medication context, symptoms, health and life events, triggers, relapses, stabilization, and recovery.
A structured review of the whole hair-loss case
The assessment brings the history, distribution, timeline, scalp findings, treatment response, existing records, and current decision into one organized case model.
What FHI reviews
Records and laboratory information
Laboratory results, biopsy or pathology reports, prior diagnoses, specialist notes, treatment plans, and other relevant records.
Photos, scalp findings, and trichoscopy
Clinical photography, examination or remote findings, scalp symptoms, density, shedding, breakage, follicular changes, and trichoscopy where available.
Clinical picture and distribution
Where and how the hair is changing, the affected areas, the visible pattern, and whether the findings are concordant across the case.
Treatment history and response
What has been tried, timing, consistency, benefit, adverse effects, interruptions, setbacks, and whether the observed response fits the expected timing and pattern.
Assessment, unresolved questions, and monitoring priorities
The leading interpretation, possible overlapping processes or mimickers, information still needed, the current decision, and the markers that should be followed.
The biological interpretation layer
FHI distinguishes direct observations from biologically informed interpretation. The assessment considers what the findings suggest about activity, distribution, follicular output, shedding, miniaturization, breakage, inflammation, scarring, relapse, recovery, and treatment response.
The result is a clinically useful explanation of the current state of the case: what is well supported, what remains uncertain, what may need further clinical evaluation, and which markers should be followed.
What the patient receives
- Integrated assessment of the history, distribution, timeline, findings, existing records, and treatment response.
- A working interpretation and the degree of confidence supported by the available information.
- Other possible contributors or mimickers that remain relevant.
- A clear list of missing information or observations that would sharpen the case.
- Monitoring priorities and baseline documentation.
- A concise written assessment summary and prioritized next-step framework.
Practitioner-facing summary and referred cases
With patient consent, FHI can provide a concise practitioner-facing summary of the referral question, assessment findings, biologically informed interpretation, unresolved issues, and monitoring priorities. Practitioner-referred cases can also receive follow-up feedback and monitoring updates.
The FHI pathway
One continuous pathway connects preparation, assessment, interpretation, and monitoring.
- StartOrganize the caseBefore the appointment, the intake, photographs, treatment record, laboratory information, reports, and main question are organized.
- AssessReview the evidenceDuring the appointment, the history, examination or remote findings, and existing evidence are integrated.
- UnderstandClarify findings and prioritiesThe main areas of clarity and uncertainty, written assessment summary, and next priorities are defined.
- FollowMonitor what mattersBaseline markers, new information, and treatment response can be compared over time, with practitioner feedback where relevant.