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Hair Loss Treatment Progress Tracking Chart

Monitor and Document Your Hair Recovery Journey

Dermatology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: _________________
Start Date: _____________

Treatment Protocol

Primary Treatment: ________________
Supplementary Treatments: ________________

Monthly Progress Tracker

Assessment Areas

  1. Crown Area
  2. Frontal Hairline
  3. Temple Regions
  4. Mid-Scalp

Monthly Documentation

Month 1-3

  • Hair Shedding (1-10 scale): ____
  • New Growth Observed: □ Yes □ No
  • Scalp Condition: □ Normal □ Itchy □ Flaking □ Other
  • Photos Taken: □ Yes □ No

Month 4-6

  • Hair Density Change: □ Improved □ Same □ Decreased
  • Hair Texture: □ Stronger □ Same □ Weaker
  • Side Effects: ________________
  • Treatment Adjustments: ________________

Month 7-9

  • Overall Progress Rating (1-10): ____
  • Treatment Compliance (1-10): ____
  • Areas of Most Improvement: ________________

Month 10-12

  • Final Assessment
  • Treatment Goals Met: □ Yes □ Partially □ No
  • Next Steps: ________________

Notes

Next Appointment

Date: _________________ Time: _________________

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