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Online Appointments
- - Online Appointments - Coming Soon!
  GPs
- Psychologists
- - Frequently Asked Questions
    View all
  FAQ
- - Why choose Simple Online Doctor
    
    Our AHPRA registered health professionals are online and ready to help
    
    Australian Registered
    
    Convenient
    
    Easy to use
  Why Us
- - How it Works
    
    Make Appointment
    
    Make an appointment with one of our health experts for an online video consultation
    
    Information
    
    Complete a form to give us some information about why you want to chat to a doctor, and complete payment for your appointment
    
    Get Online
    
    Just be online at the correct time, and start your online consultation with one of our GPs
    
    Find Out More
  How It Works
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Medications
FAQs

Assessment Progress

1Your Hair Loss
2Your health
3Consent

Assessment

Ordered Before? Log in now, and save time completing your assessment and confirm you have verified your ID.

Item added to bag. Click here to view bag.

Please select a size from above to proceed.

There are NHS prescriptions in your basket. Please complete the order first or remove NHS prescriptions from the basket.

Patient Notice! This questionnaire forms the basis of your hair loss consultation today. We need you to be honest with your answers including any current medication you are on. This allows our doctors to prescribe medication that helps you and offer accurate advice. We expect you to read the medicinal information provided before selecting your treatment.

1Your Hair Loss

Have you taken Propecia or Finasteride before? *

No Yes

Please see your regular GP for an initial consultation for this medication.

Did you take Propecia for more than 4 months? *

No Yes

Have you noticed Propecia has been working to prevent hair loss or regrow your hair? *

No Yes

Did you suffer from any adverse effects from your Propecia Treatment? *

No Yes

NOTE: We can not issue further prescriptions for this medication.

If finasteride has not shown results after 4 months of treatment, you should discontinue use.

You may wish to speak to your GP about additional treatment options.

Please provide information of the side effects experienced *

Please select the pattern of your hair loss according to the chart below.

hair loss

Do you understand Propecia (Finasteride) is for men between 18-65 only?

NOTE: Propecia / Finasteride will not work in women and can be harmful during pregnancy *

No Yes

Unfortunately we can not offer you treatment. Propecia / Finasteride is used in male pattern baldness.

Was your hair loss either sudden or medication induced? *

No Yes

Unfortunately we can not offer you treatment, as sudden or unexplained hair loss is best discussed with your own GP. Propecia / Finasteride is used in male pattern baldness.

Does your hair fall out in patches? *

No Yes

Please see your GP to discuss treatment options.

Irregular or patchy hair loss should be investigated for underlying causes by your doctor.

Are you suffering from an illness or skin condition that might explain your hair loss? e.g. Disease causing weight-loss or fevers or skin conditions such as psoriasis or ring worm *

No Yes

Please see your GP to discuss treatment options.

You may be able to treat underlying causes to reverse or slow hair loss.

2Your health

Have you ever been diagnosed with cancer of the prostate? *

No Yes

Unfortunately we can not offer you treatment. You can discuss treatment options with your GP in this instance.

Do you have any other health problems or conditions that you think we should know about? e.g. recent or major operations, G6PD, mental illness, neurological conditions etc. *

No Yes

Please give more details *

Do you suffer from any problems with your kidneys, your urinary system, your digestive system or your liver? *

No Yes

Unfortunately we can not offer you treatment. You can discuss treatment options with your GP in this instance.

Are you currently taking any prescription-only medicines, alternative medicines or recreational drugs? *

No Yes

Please give more details *

Do you have any known allergies to any medicine or substances? *

No Yes

Please give more details *

3Consent

Are you aware that some users of Propecia / Finasteride may experience depression or suicidal thoughts?

NOTE: You should discontinue use and see your GP if you are experiencing low mood or think you might be experiencing depression

*

No Yes

Please see your GP to discuss side effects of this medication if you are not fully aware of these

Are you aware that Finasteride / Propecia can cause erectile dysfunction in around 1% of users? *

No Yes

Please see your GP to discuss side effects of this medication if you are not fully aware of these

I confirm I am over 18 years old.

The medicine ordered is for my sole use only.

I will read the patient information leaflet supplied with the medicine specifically the side effects and dosages.

I take responsibility to inform my own regular doctor of the online consultation or any changes in my circumstances.

I agree to the Simple Online Doctor terms and conditions. *

Confirm

We strongly advise that you inform your GP of any treatment you receive.
Would you like us to inform them on your behalf?

*

No Yes

Please enter the email address of your GP clinic *

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