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Are you over the age of 18?

  • Yes
  • No

What was your sex assigned at birth?

  • Male
  • Female

How long have you been noticing your hair loss concern?

  • None as of yet, I am wanting to prevent any hair loss
  • In the last year
  • Over a year

Can you please select the image best describes your current hair loss concern?

Have you tried any other hair loss treatments in the past?

  • Yes
  • No

Are you taking any other medications? This includes prescriptions and non-prescription medications (vitamins, herbal supplements)

  • Yes
  • No

Do you have any medical or health issues?

  • Yes
  • No

16. Please attach pictures of your hair concern.

Please advise what day and time would be suitable for a video or phone consultation.

  • Phone
  • Video

Thank you very much, Grow Laser Cap team will be reviewing your information and we will be in contact with you shortly or please contact us now on 1800 880 160 or 0800 020 055 to discuss right away. Regards Grow Laser Cap Client Service Team.

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All information provided is private and confidential and is in complete accordance with our privacy policy.

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$200 OFF UNIQUE DISCOUNT CODE - 200OFFGROW - GROW LASER CAP AND FOLLICLE HEALTH PROGRAMS - FREE SHIPPING - SATISFACTION GUARANTEE

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    Thank You

    Thank you for enquiring into our state of the art grow laser cap, with 280 medical grade laser diodes. The best value and highest laser coverage FDA Cleared Medical Device to help with follicle health all in the privacy of your own home.

    Please see or quote to our client service team your $200 OFF code below or click the link below it for a significant discount on the 280 Laser Diode Grow Laser Cap or Grow Follicle Health programs. 

    Discount Code - 200OFFGROW

    If you have submitted an online consultation form to be assessed, it is currently under review by our specialist and client service team. We will be in touch with you via your selected preference of communication and date and time as per the consultation form.

    If you would like to discuss your enquiry sooner, please do not hesitate to contact a member of our client service team during business hours.

    If you have any further questions or concerns, please contact us on 

    Australia : 1800 880 160 

    New Zealand : 0800 020 055

    International : +61 3 9381 7898

    Email: clientservice@growlasercap.com

    Regards 

    Grow Laser Cap Client Service Team.