Please register first to obtain treatment
Registration is free and without obligation to order

Registration Explained

To continue your order, please complete the registration form, this will take about 2 minutes. The information is for the sole use of the Doctor to assess your condition and approve you for treatment if applicable. The information will not be used for any other marketing purposes whatsoever.

For further information, please check our registration FAQ's.

Registered with the care Quality Commission

Questions Related to Hairloss

In order to prescribe treatments for Hairloss our doctor needs some information regarding this specific condition. Please complete the following as accurately as possible.

Please confirm the reason for wanting Hairloss treatment.

Where on your head are you losing hair? E.g. front, sides, crown etc.

How long have you been suffering with hair loss?

Please confirm you understand that pregnant or potentially pregnant women should not handle this medication directly.

Please confirm you understand that whilst using Propecia you should not have unprotected sexual intercourse.

Please confirm you understand that if you are planning to try for a baby over the next 6 months you should stop taking Propecia.

Are you suffering from complete or sudden hair loss (over a period of days or a few weeks), or hair loss caused by medication?

Yes No

Do you suffer from an illness or skin condition that might explain hair loss such as psoriasis or ring worm (fungal infection)?

Yes No

Do you suffer from prostate cancer or an enlarged prostate?

Yes No

Do you have any skin diseases?

Yes No

I understand that these tablets can ONLY be taken by men.

Do you suffer with depression or suicidal thoughts?

Yes No

© 2004 - 2018 FMC Marketing Limited, UK CQC-registered company working with medical professionals GMC registered doctors and UK-registered pharmacies.
Our Doctors:
Doctor Nitin Shori (Clinical Lead) - GMC Reference Number: 6047293
Doctor Alexandra Phelan - GMC Reference Number 6150198

FMC Marketing Limited is registered in England No. 04780577 Registered address; Hampshire House, 204 Holly Road, Aldershot, Hampshire, GU12 4SE