Free Consultation in Progress

1 Hair Loss History

Hair Loss History

2 Allergies

Allergies

3 Medications

Medications

4 Medical Problems

Medical Problems

5 Finasteride or Propecia?

Taken Finasteride?

Finasteride can have rare and uncommon side effects that you should be aware of. This includes sexual side effects (such as decreased libido, erectile dysfunction), and psychological side effects (such as depression or anxiety). Please see the Drug Safety Information below for more information.

6 Topical Minoxidil

Ever used topical minoxidil?

7 Pregnant

Pregnant?

Pregnancy Warning: Patients should not use finasteride if you or your spouse is planning to get pregnant, is pregnant or breastfeeding.

8 Sexual Performance

Sexual Performance

9 Kidney, Heart, Lung, etc... Disorder?

Kidney, Heart, Lungs

10 Depression

Depression

11 Gender

Gender

12 Date of Birth

Date of Birth

13 Billing

Billing details

14 Signature

Signature

15 How did you hear about us?

How did you hear about us?

16 Upload Pictures

Driver's License

Topical Finasteride & Minoxidil for Hair Loss

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Face Photo

Topical Finasteride & Minoxidil for Hair Loss

Please upload a picture of your face. (1 photo)

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Hair Loss Photos

Topical Finasteride & Minoxidil for Hair Loss

Please upload pictures of your hair loss. (Multiple Photos)

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17 Confirm Order
Product Subtotal
Topical Finasteride & Minoxidil for Hair Loss  × 1 $79 per month (Cancel anytime)
Subtotal $79.00
Shipping
Tax $0.00
Total $79.00
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