Hospital Request Form: United States

Wigs are free to the kiddos! We know that hospital bills can be a massive financial burden. However, if you feel so inclined, may we suggest a $50 donation to cover the cost of supplies and shipping for each wig.  See donation options

Treatment centers and hospitals are sent a variety of available wigs.

Printable Rack Card


  • What is your role at your hospital or treatment center?
  • Please provide your phone number so that we can contact you if there are shipping issues, or to schedule a future shipment.
  • This field is for validation purposes and should be left unchanged.

We will send a few examples of each of our styles.