• Order your repeat hair loss medication

    Order your repeat hair loss medication

    Click the button below to start your online consultation
  • Have you ordered this medication from The Maitland Clinic before?*

  • As it is the first time you are requesting this medication from The Maitland Clinic, please use the link below and select the appropriate medication to place your order:

    https://themaitlandclinic.shop/hair-loss-medication/

    Thank you!

  • Important information

  • Just like a traditional consultation, Dr Ball would like to ask you some questions to assess your response to your hair loss treatment. Your answers will help him assess your suitability for a repeat prescription. Please answer all questions honestly and in full. If you have any problems understanding or answering a question please call or message us.

  • Medical questionnaire review

  • Since your last medication order, have you made any changes to your regular medication or received any new medical diagnosis? If in doubt, please contact us to check that we have the relevant information.*

  • Hair loss medication review

  • Since you started using your hair loss treatment, has your hair loss changed (more shedding, new areas of hair loss etc.)?*
  • Do you have any of the following? (Tick all that apply)*
  • What hair loss medication are you currently using (including the medication you are requesting today)?*
  • Have you experienced any of the following side effects? (Please tick all that apply)*

  •  

    Responses to hair loss medication vary between patients. Some patients notice increased density or thicker hair, while for others the main benefit is stabilisation or a reduction in further hair loss. All of these may represent a positive response to the treatment.

    It can take between 6 and 12 months to assess the full benefit of treatment. Please select the option that most closely reflects your experience.

     

  • Is your hair loss treatment effective?*

  • If you have been using your medication consistently for 12 months and have not noticed stabilisation, reduced shedding, thickening or any other improvement, please contact the clinic so that we can review your progress and discuss whether any alternative options may be appropriate.

     

  • Do you have a partner who is pregnant or trying to get pregnant?*

  • Aknowledgements

  • I have completed this questionnaire for myself and to the best of my knowledge.*
  • My assigned gender at birth is:*
  • I have disclosed any serious illnesses or operations that I have had.*
  • I have disclosed any prescription medication that I currently take.*
  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Would you like to submit some photos for us to review your progress?*

  • Please submit the following confidential photographs.

    These photographs are confidential and will be kept in your medical record to assist Dr Ball in diagnosing the cause of your hair loss. They can be completely anonymous if you prefer. They will also allow Dr Ball to assess your response to treatment over time.
  • Take Photo*
  • Take Photo*
  • Take Photo*
  • Take Photo*
  • Take Photo*
  • Take Photo

  • Contact details

  • Format: 00000-000000.
  • Has your home address changed since your last medication order?
  • Delivery Address

  • Repeat medication order

  • I would like to order a repeat prescription for:*
  • Please provide the information below for monitoring purposes*:*
    Rows

  • *Please note that we will not be able to issue your repeat oral minoxidil prescription until we have received up-to-date readings.

  • How often would you prefer to apply your topical treatment?

  • If you wish to change to once daily application, please order 0.25% finasteride (with or without minoxidil) at checkout. 

    Please see the guidance below:

    • Topical finasteride 0.1% (TWICE daily)
    • Topical finasteride 0.25% and above (ONCE daily)
    • Combined topical finasteride 0.1% with minoxidil 5%/7% (TWICE daily)
    • Combined topical finasteride 0.25% and above with minoxidil 5%/7% (ONCE daily)

    The information above is provided as guidance only. PLEASE ALWAYS FOLLOW THE INSTRUCTIONS AS PER YOUR PRESCRIPTION.

     

  • Would you like Dr Ball to inform your GP that he is prescribing minoxidil and/or finasteride for you?*

  • Checkout

  • Is your request for a different medication or strength to your previous prescriptions with The Maitland Clinic?*
  • Reminder Date
     / /
    2 digit day, 2 digit month, 4 digit year

  • Please note:

    • Once we have received your completed form, your information will be reviewed by Dr Ball and if suitable, he will issue your prescription directly to our pharmacy.
    • All products are dispatched with Royal Mail Tracked 48 and you will receive an email with your tracking number.
    • If you wish to order a product that you have not been prescribed before, you will be required to fill out a new order form. Please contact Lana at prescriptions@themaitlandclinic.com.

  • Hair loss medication (select your desired strength below):*

    Categories:All
    All
    Oral minoxidil
    Topical finasteride
    Topical minoxidil
    Combined topical finasteride with minoxidil
    Bespoke strength topical solution
    prevnext( X )
                                                Oral minoxidil
                                                Oral minoxidil 2.5mg (Loniten or Roma Pharmaceuticals)
                                                £47.50£47.50
                                                  
                                                Topical finasteride
                                                Topical finasteride 0.025%

                                                100ml bottle

                                                £42.10£42.10
                                                  
                                                Topical finasteride 0.05%

                                                100ml bottle

                                                £48.50£48.50
                                                  
                                                Topical finasteride 0.1%

                                                100ml bottle

                                                £48.50£48.50
                                                  
                                                Topical finasteride 0.25%

                                                100ml bottle

                                                £51.70£51.70
                                                  
                                                Topical minoxidil
                                                Topical minoxidil 5%

                                                100ml bottle

                                                £43.70£43.70
                                                  
                                                Topical minoxidil 7%

                                                100ml bottle

                                                £46.10£46.10
                                                  
                                                Topical minoxidil 5% + tretinoin 0.01%

                                                100ml bottle

                                                £62.90£62.90
                                                  
                                                Topical minoxidil 7% + tretinoin 0.01%

                                                100ml bottle

                                                £66.10£66.10
                                                  
                                                Combined topical finasteride with minoxidil
                                                Topical finasteride 0.1% with minoxidil 5%

                                                100ml bottle

                                                £51.70£51.70
                                                  
                                                Topical finasteride 0.1% with minoxidil 7%

                                                100ml bottle

                                                £56.50£56.50
                                                  
                                                Topical finasteride 0.25% with minoxidil 5%

                                                100ml bottle

                                                £61.30£61.30
                                                  
                                                Topical finasteride 0.25% with minoxidil 7%

                                                100ml bottle

                                                £62.90£62.90
                                                  
                                                Topical finasteride 0.1% with minoxidil 5% + tretinoin 0.01%

                                                100ml bottle

                                                £72.50£72.50
                                                  
                                                Topical finasteride 0.25% with minoxidil 5% + tretinoin 0.01%

                                                100ml bottle

                                                £75.70£75.70
                                                  
                                                Topical finasteride 0.25% with minoxidil 7% + tretinoin 0.01%

                                                100ml bottle

                                                £78.90£78.90
                                                  
                                                Bespoke strength topical solution
                                                Bespoke strength solution (please specify strength in section above)

                                                1 x 100ml bottle

                                                Free£ Free
                                                  
                                                Total
                                                £0.00£0.00
                                              • Should be Empty: