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WSMR
FLEX S1, 2 Peptides
Prospective Test Patient Request Form

Please DO NOT overwhelm WSMR with inquiries. HairSite is currently compiling prospective test patients' information and will forward the details to WSMR for evaluation. Information will be treated with the strictest confidence and it will not be used by any third party nor will the information be used for commercial purposes of any kind. 

HairSite does not guarantee you will be selected as one of WSMR test patients. All we do is to simply compile a database of prospective test patient information and forward the details to WSMR. It is totally at WSMR's discretion whether to accept you as a test patient or not. HairSite is NOT involved in the screening process. We are just facilitating the process. Also, HairSite has no idea when WSMR will commence the next trial. We do not guarantee that everyone will receive a reply and we do not guarantee that it will happen within a certain time frame. 

If you are interested, please submit the following information. All the information will be forwarded directly to WSMR. All information submitted here will be treated with the strictest confidence. HairSite affirms and reassures everyone that information submitted herein will not be used for commercial purposes nor will individuals' email accounts be used for mailing list purposes. 

A) Email Address
B) State
C) Country
D) Gender
E) Norwood Class **
F) Age
G) Did you have hair transplant before?
  
H) If you had hair transplants before, how many grafts did you have? 
I) What kind of hair loss treatments are you currently using?
J) Any comments about your condition that are worth mentioning?

** If you are not sure what Norwood Class you belong to, please see
Male Pattern Hair Loss

All WSMR Related Stories:
 WSMR Press Release - Synthetic Peptide 
WSMR Frequently Asked Questions + Safety Profile
WSMR Flexible Peptide S patient results
WSMR received seal of approval from JTR
WSMR test patient request form
Dr. Kenneth Skinner of WSMR speaks about HairSwitch
Interim update from WSMR HairSwitch peptide trialist.
HairSite spoke to WSMR's HairSwitch peptide trialists.
March 1, 2003: first official update from HairSwitch peptide trialists.
November 2003: before and after photos.
Dr. Jankovic's comments about WSMR.


Alert:
Please be advised that HairSite is NOT recommending WSMR products to any of our readers. Please exercised caution if you are considering purchasing WSMR products as we are unable to verify if the product is indeed effective for hair growth or otherwise. Also, while there is no incriminating evidence which suggests that WSMR is a scam, we believe that our readers should familiarize themselves with the latest report by Rock Mountain News about WSMR. Click here for JTR's post.

TOPICAL FORUM

All information will be treated with the strictest confidence 
and will only be used by WSMR clinic for screening purposes.

 

Information about this article

Article #  234
Title WSMR Prospective Test Patient Request Form
Date 10/20/02
Source HairSite
Forum TOPICAL 
Archive TOPICAL 
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