Apply

Apply for clinical evaluation.

This is not a booking form. The clinical team reviews each submission and responds with whether your case is appropriate for clinic-based care or program eligibility. This process is designed to guide you with clarity and care.

Take a moment to share what you are experiencing. The form below is reviewed by the clinical team, not an assistant. The more context you provide, the more useful the evaluation.

Describe what you're experiencing. For example: thinning, shedding, breakage, or scalp symptoms.

How long has this been going on? (e.g., 6 months, 2 years)

Optional. List any treatments, products, or providers you've tried.

Photo upload (optional)

After submitting, we'll email you a secure link to upload photos for clinical review.

Submissions are reviewed by the clinical team. This is not a booking and not a guarantee of acceptance into the program.

What Happens Next

What happens next.

Once your submission is received, it will be reviewed to determine the appropriate next step.

If eligible, you will be contacted with instructions for scheduling a consultation and moving forward with care.

Please allow 24 to 48 hours for review.