Before we begin

Please confirm you understand the following. You'll need to tick each box to continue.

Are you completing this form for yourself?

Prescription medications can only be prescribed to the person receiving them.

What is your full name?

We'll use this to pre-fill your checkout and register the prescription with our clinician.

What's your date of birth?

These products are licensed for adults over 18. Over-65 cases need clinician review. Your DOB is used on your prescription.

What sex were you assigned at birth?

Finasteride is only licensed for men. Women can safely use minoxidil.

Are you pregnant, breastfeeding, or planning a pregnancy in the next 12 weeks?

Finasteride can cause birth defects. Minoxidil is not recommended during pregnancy.

Is your partner currently pregnant, or actively trying to conceive?

Finasteride is absorbed through semen in trace amounts and is contraindicated when a partner is pregnant or trying.

What's your mobile phone number?

We'll only contact you about your prescription. You can leave this blank if you'd prefer not to share it.

Which pattern best matches your hair loss?

This is the single most important question for matching you to the right products.

Receding temples only Temples and crown Moderate thinning across the top Extensive thinning or balding Thinning all over (diffuse) Patchy or circular bald spots Complete or near-complete baldness Female-pattern thinning (widening parting)

Images are for illustration purposes only and may not exactly match your hair pattern.

When did you first notice your hair loss?

Sudden onset is usually a short-term condition (e.g. telogen effluvium) that resolves on its own.

Is your hair loss in clumps or patches with smooth bald skin underneath?

This presentation suggests alopecia areata, which is a different condition requiring specialist diagnosis.

Have you noticed hair loss on other parts of your body (eyebrows, beard, body hair)?

Loss in other areas suggests alopecia universalis and needs specialist review.

Do any of the following apply to you?

Each of these conditions interacts with either finasteride or minoxidil — so we only recommend products that are safe for you.

Do you have any of these scalp conditions right now?

Applying a topical spray to broken or inflamed skin can cause excessive absorption and side effects.

Do you have any known allergies to the following?

We need to ensure we never recommend a product containing something you're allergic to.

Are you currently using any other hair loss treatment?

Combining treatments without medical advice can cause interactions and side effects.

Are you currently taking any prescription medications?

Some medications interact with finasteride or minoxidil. Our clinician will review anything you list before approving a prescription.

Which medications are you taking?

List anything you take regularly — our clinician needs the names so they can check for interactions before approving any prescription.

Which of these matter most to you?

Your answers help us rank the products that are suitable for you — the one that matches your priorities best will be shown first. This never removes a product from your options.