Order Confirmed: Medical Intake Required
Thank you for choosing Sparkle Lifestyle & MediSpa. Because Latisse® (Bimatoprost 0.03%) is a Health Canada-regulated prescription treatment, our medical team must review your health profile before your order can be dispensed and shipped.
Next Steps to Finalize Your Order
- Step 1: Fill out the secure medical questionnaire provided below.
- Step 2: Our licensed medical team will review your history (usually within 24 hours).
- Step 3: Once approved, you will receive an automated shipping confirmation with your tracking number.
✓ Private & Secure Your data is encrypted and handled according to Canadian PIPEDA privacy standards.
✓ Professional Review Every prescription is overseen by our medical team to ensure your eye safety and the best possible results.
Secure Consultation Form
(Please ensure your Date of Birth and Medical History are accurate to avoid shipping delays.)
Clinical Note: If our medical team determines that Latisse® is not suitable for you based on your health history, your order will be cancelled and a full refund will be issued immediately.
Questions? Contact our Moncton clinic at (506) 871-4421 or email info@sparklelifestyle.ca