Eligibility
Getting Started with your Hair Loss Online Consult
For our healthcare practitioners to prescribe medication, we need to know a few things about your health and medical history. Answer this short questionnaire and a licensed healthcare provider will assess your case and reach out to you. Your progress is automatically saved. You will be required to upload the following.
Please have them ready for faster completion of the intake questionnaire:
Please have them ready for faster completion of the intake questionnaire:
Don’t worry, you can submit these items later. ID verification is required for us to provide medical services:
Government ID
Provincial health card
Private insurance card (if any)
Selfie for identification purposes
By proceeding, you agree that you:
Are completing this questionnaire for yourself and to the best of your knowledge
Were assigned male at birth
Will disclose any serious illnesses or surgeries you have had
Will disclose any prescription medication you currently take
Agree to our terms and conditions and privacy policy.
Agree to our subscription policy and refund policy.
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