call us

1990 Main Street Suite 700
Sarasota, FL 34236


This is a secure website form

Greco Medical Group employs industry-recognized security safeguards to help protect the personally identifiable information that has been provided to us from loss, misuse, or unauthorized alteration. Secure server software (SSL) encrypts all informat ion entered through our web interface so that it cannot be read as the information travels over the Internet. Therefore, all of the personal and medical data that is entered into the our website is encrypted through the industry standard SSL. (Please notice the beginning of the URL starts as "https").

  *Your Age
 Male Female  

How did you first hear about us?

 Physician Patient Yellow Pages Family Newspaper Magazine Friend Fitness Club Salon/Spa Web Site Airport Other TV

The name of the person to thank for Referring you:

 1 2 3 4 5 6 7 8 9 10

 Yes No


Please click on the submit button to send your information.

All information provided is private and not sold or released to third parties.

Summit Hair Restoration,
1990 Main Street, Suite 700,
Sarasota, FL 34236
Phone: 1-888-GRECOHT / 941.952.3300
Fax: 941.552.9295

In addition to SSL security, a VeriSign Security Certificate is applied on our web site's servers to protect the confidentiality of your information. VeriSign, Inc. (NASDAQ: VRSN) is headquartered in Mountain View, CA and is the leading provider of Public Key Infrastructure (PKI) and digital certificate solutions used by enterprises, web sites, and consumers to conduct secure communications and transactions over the Internet and private networks.