Thank you for participating in the Wigs For Kids program. To ensure we have all necessary information to proceed, please submit the following four documents through our secure, encrypted, HIPAA-compliant portal:
1. Wigs For Kids Medical Information Form – This form must be signed by your medical professional.
2. Legal Age Document- A copy of one of the following is acceptable: birth certificate, passport, or state ID.
3. Current color picture of the child.
4. Color picture of the child prior to hair loss or picture of a hairstyle they’d ideally like to wear.
**Important:** Both photos must be in color to accurately reflect the child’s appearance.
Note: We can’t consider your application until we receive these 4 documents from you. If you need assistance, please email us at reception@wigsforkids.org, or call us at 440-333-4433, Option #5. Your application cannot move forward until all these documents have been received and reviewed.
