Confirmation Required

If you proceed with an order, our doctor will call you on the below number to explain potential side effects and answer any questions you may have. Please ensure that your phone number is correct as the doctor cannot write a prescription without speaking with you first.

Please re-enter your Medicare Card details correctly and try again. If you continue to experience issues, please contact us.

Answer seven quick questions about your general health to get the most effective clinically proven treatments for you.

DO YOU AGREE AND CONSENT TO THE FOLLOWING?

I live in Australia.
I shall be the sole user of any medication offered to me through this service.
I confirm all answers are provided by me, and will be truthful.
I agree to the terms and conditions.

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Would you like to skip the questionnaire and speak with a Doctor instead?

NEW

KeyA

Yes
Key B

No

Do you take any regular medications, have any known allergies or any medical issues?

KeyA

Yes
Key B

No

Please list any regular medications you take, any known allergies or any medical issues.

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Do you have any issues with hair loss/ receding hair line/ balding?*

KeyA

Yes
Key B

No

Is the hair loss mainly at the front (scalp), middle (crown) or back/sides (patchy)?*

KeyA

Scalp
Key B

Crown
Key C

Patchy

Have you tried anything for the hair loss?*

KeyA

Yes
Key B

No

What have you tried?

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Do you have any allergies?*

KeyA

Yes
Key B

No

What allergies do you have?

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Are you taking any regular medications (including over the counter or herbal medicines)? Do you have any other medical condition or previous operations not already mentioned?*

KeyA

Yes
Key B

No

Please list all your medications you take and any other medical conditions or previous operations.

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Please enter your gender

KeyA

Male
Key B

Female
Key B

Other

Are you pregnant or breastfeeding?*

KeyA

Yes
Key B

No

Discretion is at the heart of what we do but for legal reasons the name on your prescription must be your full legal name. Please provide your legal name as per your official government ID. *

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Please provide your date of birth *

Day

Month

Year

press Enter ↵

Based on your medical history and individual needs, our doctors have provided personalised treatment. Please complete your mobile phone number to view recommended treatment. *

Eritrea

+291

Cameroon

+237

Montenegro

+382

Fiji

+679

Tunisia

+216

Senegal

+221

South Georgia

+500

Brazil

+55

Liechtenstein

+423

Mexico

+52

Palestine

+970

Greenland

+299

United States Minor Outlying Islands

+268

Equatorial Guinea

+240

Guadeloupe

+590

Saint Helena, Ascension and Tristan da Cunha

+290,47

Turkey

+90

Chad

+235

Honduras

+504

Austria

+43

Romania

+40

Gabon

+241

Namibia

+264

Rwanda

+250

Saint Vincent and the Grenadines

+1784

Bulgaria

+359

Colombia

+57

Suriname

+597

Zimbabwe

+263

Venezuela

+58

Eswatini

+268

Philippines

+63

Turkmenistan

+993

Algeria

+213

Niger

+227

Jamaica

+1876,658

Armenia

+374

Caribbean Netherlands

+599

Solomon Islands

+677

Cuba

+53

French Southern and Antarctic Lands

+262

Åland Islands

+35818

United States Virgin Islands

+1340

Liberia

+231

Sudan

+249

British Virgin Islands

+1284

Tanzania

+255

Croatia

+385

Andorra

+376

Belize

+501

Barbados

+1246

Slovakia

+421

Vatican City

+3906698,79

Lebanon

+961

Moldova

+373

Finland

+358

Taiwan

+886

Micronesia

+691

Vietnam

+84

French Polynesia

+689

Tokelau

+690

Germany

+49

Uganda

+256

Sint Maarten

+1721

Kazakhstan

+76,7

Northern Mariana Islands

+1670

Dominica

+1767

South Sudan

+211

American Samoa

+1684

Pitcairn Islands

+64

Tajikistan

+992

Wallis and Futuna

+681

Slovenia

+386

Cape Verde

+238

Maldives

+960

Yemen

+967

North Korea

+850

Georgia

+995

Belgium

+32

Uzbekistan

+998

Dominican Republic

+1809,829,849

Portugal

+351

Faroe Islands

+298

Western Sahara

+2125288,125289

Martinique

+596

Saint Lucia

+1758

Mozambique

+258

Thailand

+66

Israel

+972

Falkland Islands

+500

Benin

+229

Indonesia

+62

Papua New Guinea

+675

Bahrain

+973

Macau

+853

Greece

+30

Syria

+963

Central African Republic

+236

Guam

+1671

Poland

+48

Bouvet Island

+47

Antarctica

United States

+1201,202,203,205,206,207,208,209,210,212,213,214,215,216,217,218,219,220,224,225,227,228,229,231,234,239,240,248,251,252,253,254,256,260,262,267,269,270,272,274,276,281,283,301,302,303,304,305,307,308,309,310,312,313,314,315,316,317,318,319,320,321,323,325,327,330,331,334,336,337,339,346,347,351,352,360,361,364,380,385,386,401,402,404,405,406,407,408,409,410,412,413,414,415,417,419,423,424,425,430,432,434,435,440,442,443,447,458,463,464,469,470,475,478,479,480,484,501,502,503,504,505,507,508,509,510,512,513,515,516,517,518,520,530,531,534,539,540,541,551,559,561,562,563,564,567,570,571,573,574,575,580,585,586,601,602,603,605,606,607,608,609,610,612,614,615,616,617,618,619,620,623,626,628,629,630,631,636,641,646,650,651,657,660,661,662,667,669,678,681,682,701,702,703,704,706,707,708,712,713,714,715,716,717,718,719,720,724,725,727,730,731,732,734,737,740,743,747,754,757,760,762,763,765,769,770,772,773,774,775,779,781,785,786,801,802,803,804,805,806,808,810,812,813,814,815,816,817,818,828,830,831,832,843,845,847,848,850,854,856,857,858,859,860,862,863,864,865,870,872,878,901,903,904,906,907,908,909,910,912,913,914,915,916,917,918,919,920,925,928,929,930,931,934,936,937,938,940,941,947,949,951,952,954,956,959,970,971,972,973,975,978,979,980,984,985,989

Zambia

+260

Kiribati

+686

Peru

+51

Uruguay

+598

Anguilla

+1264

Iran

+98

El Salvador

+503

Hungary

+36

Samoa

+685

Ecuador

+593

France

+33

Nigeria

+234

India

+91

Saint Martin

+590

Burkina Faso

+226

Iraq

+964

Kuwait

+965

Czechia

+420

Montserrat

+1664

Morocco

+212

New Caledonia

+687

Gambia

+220

Netherlands

+31

Saint Pierre and Miquelon

+508

Saint Barthélemy

+590

Hong Kong

+852

China

+86

Ukraine

+380

Botswana

+267

Curaçao

+599

Serbia

+381

Sweden

+46

Sierra Leone

+232

Spain

+34

Panama

+507

Singapore

+65

Laos

+856

Malawi

+265

Burundi

+257

Belarus

+375

Cayman Islands

+1345

Malaysia

+60

Pakistan

+92

Argentina

+54

Angola

+244

Malta

+356

Aruba

+297

Paraguay

+595

Guinea-Bissau

+245

Saudi Arabia

+966

Gibraltar

+350

Nicaragua

+505

Ireland

+353

Mali

+223

Costa Rica

+506

British Indian Ocean Territory

+246

Mongolia

+976

French Guiana

+594

Canada

Cook Islands

+682

Estonia

+372

Trinidad and Tobago

+1868

Cocos (Keeling) Islands

+61

Comoros

+269

Christmas Island

+61

Timor-Leste

+670

Denmark

+45

North Macedonia

+389

Bangladesh

+880

Mauritius

+230

Cyprus

+357

Guernsey

+44

Brunei

+673

Japan

+81

Azerbaijan

+994

Bahamas

+1242

Latvia

+371

Mayotte

+262

Afghanistan

+93

Kyrgyzstan

+996

Norfolk Island

+672

Vanuatu

+678

United Arab Emirates

+971

Lesotho

+266

Myanmar

+95

United Kingdom

+44

Norway

+47

Réunion

+262

South Korea

+82

Turks and Caicos Islands

+1649

Djibouti

+253

Australia

+61

Marshall Islands

+692

Oman

+968

Nepal

+977

Niue

+683

Togo

+228

Republic of the Congo

+242

Madagascar

+261

San Marino

+378

Lithuania

+370

Bhutan

+975

Ivory Coast

+225

Saint Kitts and Nevis

+1869

Switzerland

+41

Isle of Man

+44

Monaco

+377

Ghana

+233

Kosovo

+383

Seychelles

+248

Grenada

+1473

Mauritania

+222

New Zealand

+64

Guinea

+224

Tonga

+676

Italy

+39

Albania

+355

Bolivia

+591

DR Congo

+243

Palau

+680

Libya

+218

Puerto Rico

+1787,939

Russia

+73,4,5,8,9

Chile

+56

Jordan

+962

Bermuda

+1441

South Africa

+27

Sri Lanka

+94

Antigua and Barbuda

+1268

Ethiopia

+251

Iceland

+354

Guatemala

+502

Tuvalu

+688

Heard Island and McDonald Islands

São Tomé and Príncipe

+239

Egypt

+20

Bosnia and Herzegovina

+387

Jersey

+44

Luxembourg

+352

Guyana

+592

Haiti

+509

Qatar

+974

Svalbard and Jan Mayen

+4779

Cambodia

+855

Somalia

+252

Kenya

+254

Nauru

+674

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Do you have a Medicare card?

KeyA

Yes
Key B

No

Please enter your Medicare Card details

IRN

card number

Month

Year

press Enter ↵

Do you agree to use Burst Health's preferred pharmacy provider to ensure the fastest delivery time of your prescribed medication?

KeyA

Yes
Key B

No

Do you have an NHI?

KeyA

Yes
Key B

No

What is your NHI?

Shift ⇧ + Enter ↵ to make a line break

press Enter ↵

Do you have a medication preference?

KeyA

Yes
Key B

No

Do you prefer

KeyA

Capsules
Key B

Lotion
Key C

Tablets

Please select your preferred strength

KeyA

15 Mg
Key B

30 Mg
Key c

40 Mg

press Enter ↵

Have you taken 40mg before?

KeyA

Yes
Key B

No

press Enter ↵

What is your IHI?

Your IHI is located next to your Covid vaccine certificate. If you are an international student or working visa holder, for our doctors to write a prescription, you first need to register for myGov and an IHI (Individual Health Identifier). You can do this all online within minutes. Please take a look at the Services Australia website for complete instructions, click here.

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BOOKS CLOSED IN NEW ZEALAND

Due to overwhelming demand, we are not currently accepting new patients. For existing patients, please access your account here.

Unfortunately you would not be suitable for our monthly treatment plan. Please book a consult with your local GP.

If you made a mistake, you can go back and correct your answer.

press Enter ↵

Unfortunately based your answer you would not be suitable for treatment.

If you made a mistake, you can go back and correct your answer.

press Enter ↵

Please follow this link to book a $85 consultation with our doctor:

Click here to book If you made a mistake, you can go back and correct your answer.

press Enter ↵

0% completed

Hair Loss Questionnaire

Confirmation Required

Answer seven quick questions about your general health to get the most effective clinically proven treatments for you.

Would you like to skip the questionnaire and speak with a Doctor instead?

Do you take any regular medications, have any known allergies or any medical issues?

Please list any regular medications you take, any known allergies or any medical issues.

Do you have any issues with hair loss/ receding hair line/ balding?*

Is the hair loss mainly at the front (scalp), middle (crown) or back/sides (patchy)?*

Have you tried anything for the hair loss?*

What have you tried?

Do you have any allergies?*

What allergies do you have?

Are you taking any regular medications (including over the counter or herbal medicines)? Do you have any other medical condition or previous operations not already mentioned?*

Please list all your medications you take and any other medical conditions or previous operations.

Please enter your gender

Are you pregnant or breastfeeding?*

Discretion is at the heart of what we do but for legal reasons the name on your prescription must be your full legal name. Please provide your legal name as per your official government ID. *

Please provide your date of birth *

Based on your medical history and individual needs, our doctors have provided personalised treatment. Please complete your mobile phone number to view recommended treatment. *

Do you have a Medicare card?

Please enter your Medicare Card details

Do you agree to use Burst Health's preferred pharmacy provider to ensure the fastest delivery time of your prescribed medication?

Do you have an NHI?

What is your NHI?

Do you have a medication preference?

Do you prefer

Please select your preferred strength

Have you taken 40mg before?

What is your IHI?

BOOKS CLOSED IN NEW ZEALAND

Unfortunately you would not be suitable for our monthly treatment plan. Please book a consult with your local GP.

Unfortunately based your answer you would not be suitable for treatment.

Please follow this link to book a $85 consultation with our doctor: