Firstly, do you agree and consent to the following?
Please read each statement carefully — your tickbox below confirms you agree to all of them before continuing.
-
✓
I am male, between 18 and 65 years old, and live in the UK.
-
✓
I am completing this consultation for myself and will be the sole user of any medication prescribed.
-
✓
All answers I provide during this consultation will be true and complete to the best of my knowledge. I understand that giving inaccurate information could put my health at risk.
-
✓
I confirm I am experiencing male pattern baldness, also known as androgenetic alopecia.
-
✓
I understand that the prescriber may decide I am not suitable for treatment, and that any decision will be made at their clinical discretion.
-
✓
I understand that minoxidil 10% spray, minoxidil with topical finasteride, oral minoxidil and the All-In-One capsule may be prescribed as unlicensed products, and I will read and understand what this means before treatment is supplied.
-
✓
I will inform Harley Street Hair Transplant Clinic or my GP if I begin to experience low mood, depression or suicidal thoughts while on treatment.
-
✓
I will inform the clinic of any changes to my medical history so my prescriber can re-assess my suitability where needed.
-
✓
I agree to read and accept the Terms & Conditions and Terms of Sale, including the cancellation, refund and data-handling policies, before placing an order.
Your consent will be recorded when you submit this consultation. You can withdraw consent at any time by contacting the clinic.