Please share your information with us anonymously by filling out this form. Once completed, schedule a convenient time for a brief confidential phone call with our Canadian Healthcare Professional. At that time, we have finalized our screening and recommend the treatment right for you.

The Call Usually Takes Less Than 5 Minutes. Rest Assured, We Prioritize Your Health and Privacy Above All Else.

We will only ask for identification information over the phone when our healthcare professional calls you to complete the assessment.

Lifestyle and habit choices that may affect erectile dysfunction: this section will deal with confident decisions that have been linked to an increased risk of developing ED.

Erectile dysfunction is a common condition that affects millions of men in Canada. It is defined as the inability to get or maintain an erection firm enough for sexual intercourse—this section is designed to explore the history of ED in your life.