"*" indicates required fields

Step 1 of 23

4%
Finasteride is a cost-effective, generic oral treatment for male hair loss, with 90% effectiveness. It is cheaper than branded Propecia. it is NOT recommended for women.*
Are you a male aged between 18 - 65 years old?*
Have you experienced hair loss around your temples and crown (male pattern baldness)?*
Are you currently using any other products or treatments for hair loss?*
Is your hair loss occurring in random patches over your scalp?*
Have you experianced rapid or complete loss of hair?*
Have you experienced any of the following symptoms on your scalp area?*
1. Any unexplained spots or lesions 2. Any flaking 3. Any swelling 4. Any pain or inflammation 5. Active infection on the scalp 6. Psoriasis of the scalp
Do you currently have or previously experienced any of the following:*
1. Uncontrolled high blood pressure 2. Breast cancer, prostate cancer pheochromocytoma 3. Enlarged prostate, BPH or PSA monitoring 4. Depression , anxiety or panic disorders 5. Cardiovascular disease (including chest pain, heart attacks, angina, or ischaemic heart disease) 6. Chronic kidney disease 7. Getting easily out of breath with light exercise (such as walking up stairs)
Have you ever been diagnosed with any other medical conditions?*
This can include: Immune system conditions such as HIV; Liver or kidney issues
Are you taking any other prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?*
We need to check for interactions and prescribe safely.
Please tell us the NAMES of all the medicines you take e.g. tablets, inhalers, creams, patches & other injections. We need to check for interactions and prescribe safely.
Do you have any known allergies to anything?*
Please mention below
Do you understand and accept, that if you're prescribed finasteride and your partner is (or may be) pregnant, they should avoid handling crushed or broken tablets, and it's essential to ALWAYS use a condom during sexual activity?*
Do you agree to inform your GP before taking a PSA blood test?*
The PSA blood test measures the amount of prostate specific antigen (PSA) in your blood. It can help to diagnose prostate cancer.
Would you like us to tell your GP about any care we provide? Ideally your GP should know about any medicines you’re taking.
Full name, address and post code of your GP surgery
You agree to:*
●1) Read the patient information leaflet included with your medication or accessed via the provided link. ●2) Use the treatment exclusively for yourself. ●3) Confirm the accuracy of all information you've provided, understanding that our prescribers rely on this information to make decisions, and incorrect information could harm your health. ●4) Understand that we may need to contact you by phone or video call to ensure the medicine is suitable. Your order may be delayed if we can't reach you when necessary. ●5) Consent to treatment from MedCare Health Clinic, affirming your mental capacity to make this decision. ●6) The treatment decision is a joint consideration between you and the prescriber, but the final decision and approval rest with the prescriber. ●7) If treatment is deemed unsuitable, you will be directed to alternative care. ●8) Seek medical advice if you experience side effects, start new medications, or if your medical conditions change during treatment. ●9) Inform your GP about this prescription, as it is best practice to notify them of any private treatment. ●10) All treatment remains confidential. ● I confirm that I am over 18 and I agree to the Terms and Conditions
Name*
Email*
Date*
0% Completed!