Wigs

Pantene Sleek

SKU H200 Category Wig

Inventory available while supplies last. Please fill out the application in its entirety.

All wigs are average size and can be adjusted to fit.

You must upload your prescription for a wig to meet compliance.

Our wigs are for the uninsured or underinsured.

Color

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Name*
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Email*
Phone*
Recipient Age*
Please enter a number from 0 to 130.
County*
Annual Income*
- Under $20,000
- Over $20,000
Ethnicity*
Type of Hair Loss*
- Chemotheraphy
- Radiation
Type of Cancer*
Oncologist / Physician
Name
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Phone*
Prescription for Wig*
Max. file size: 300 MB.
You must upload your prescription for a wig to meet compliance.
Terms & Conditions*
By checking this box you are agreeing that you have been medically diagnosed with cancer and all information you have provided is true and accurate.

Color	Auburn (R30), Chocolate Copper (R630H), Dark Chocolate (R6), Dark Cinnamon (R8), Ginger Blonde (R25), Glazed Hazelnut (R829S+), Golden Walnut R825, Golden Wheat (R1488), Honey Ginger (R1425), Midnight Brown (R4), Pecan Brown (R12+)

Rated 5 out of 5

Rita Depastina – December 23, 2021

I dont have 10 $
Rated 5 out of 5

agnese pisano – May 28, 2022

able to select with no problem
would be nice if when choosing hair color it would change on the head of the mannequin
Rated 5 out of 5

Evelyene Michelle Wasson Wheatley – August 16, 2022

You can call my cancer doctor or call me Michelle Wasson Wheatley to explain what we have to do to get my mother a free wig please
Rated 1 out of 5

selmets – August 26, 2022

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