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Getting started with your online hair loss visit.

Getting started with your online hair loss visit.

Since this is a prescription medication, we need to ask you some questions about your health and history with hair loss. Questions? Read the FAQ. It likely has the answer you're looking for.

  • Patient Details
  • Health Info
  • Payment
Address
Address Line 1
Address Line 2 (Optional)
City
Province
Postal Code
If your health card # has 2 letters at the end, include those as well.
If you don't have a health card, enter your province of residence.
Do you have a preferred pharmacy or shall we pick one for you? *

Pharmacy Information

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