Hair Loss Consultation

Do you agree to the following?

• You are completing this consultation for yourself and to the best of your knowledge.
• You will disclose any medical conditions, serious illnesses or operations you have had.
• You will disclose any prescription medications you are currently taking and agree to use only one hair loss treatment at a time.
• You agree to our Terms & Conditions, Terms of Sale, and confirm that you have read our Privacy Policy.
• Your accurate and honest responses to this online questionnaire for hair loss treatment are crucial. Withholding or providing false information can severely harm your health and may result in life-threatening consequences. By filling out this questionnaire, you confirm that your responses are truthful and accurate, acknowledging the potential risks of misinformation.

I confirm I have read and agree to the above.