You can now order products three different ways! You can:

1) Give us a call at our office

• Troy - 248-457-1270

• Troy - mheilman@hairlosstreatmentctrs.com

Order Information Request Form

Select the items that apply, and then let us know how to contact you.

	Send Hair Loss Literature
	Have an HLTC representative contact me
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Place Order	PRODUCT PRICE QUANTITY SHAMPOO (medicated) 12.50 PRE-EMOLLIENT (Scalp Cleanser) 12.50 CETSOL (Antiseptic / Astringent) 12.50 RECONSTRUCTOR (Keratin Enriched) 12.50 SUPER ONE DAILYS (Multivitamin) 16.95 HOME TREATMENT (3 Treatments) 36.00