Free Online Consultation

Choose your treatment and answer a few questions to get started

1 of 5 ~5 minutes

Choose Your Treatment Plan

Select the product you'd like included in your treatment plan

Billed today: $0.00

Payment is held until a licensed physician approves your prescription

Basic Information

Tell us about yourself

What is your biological sex? * Male Female

How old are you? * You must be 18 or older

Which state do you live in? * We need this to match you with a licensed provider

Hair Loss History

Help us understand your hair loss

How long have you been experiencing hair loss? * Less than 6 months 6 months - 1 year 1-3 years 3-5 years More than 5 years

Which areas are affected? *

Hairline/temples Crown/top of head Overall thinning Bald spots/patches Frontal area

Medical History

Important for your safety

Are you currently taking any medications? * Yes No

If yes, please list your current medications: Include dosage if known

Do you have any known drug allergies? * Yes No

If yes, please list your allergies:

Have you previously tried any hair loss treatments? *

Finasteride (Propecia) Minoxidil (Rogaine) Dutasteride Hair transplant PRP therapy Laser therapy None

For male patients: Do you have or have you had prostate cancer? * Finasteride is contraindicated with prostate cancer Yes No N/A - Female

Create Your Account

We need a few details to set up your secure account and ship your treatment

First Name *

Last Name *

Email *

Password * Minimum 8 characters

Date of Birth *

Phone *

Shipping Address *

City *

State *

ZIP Code *

Gender *

CrownGenix

FDA-approved hair loss treatments prescribed by licensed physicians and delivered to your door. Backed by science, built for results.

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Important Safety Information

All medications require an online consultation and prescription from a licensed healthcare provider. Results may vary. Side effects may occur. This site is not a substitute for professional medical advice.

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