Signature Case — Application

Your name *

Email address *

Describe your hair loss situation *

When did it start, what does it look like, where are you now. Take your time — this is the most important field.

What have you already tried *

Supplements, topicals, medications, specialists, diet changes. What worked even a little, what did nothing, what made it worse.

Why the Signature Case rather than the $397 Protocol *

There's no wrong answer. We just want to understand where you are and what you need.

Anything else you want me to know (optional)

I understand the Pattern Mapping™ Signature Case is a $12,000 investment, payable in full. *

Submit My Application →

I review every application personally and respond within 24 hours.