Our waitlist is currently OPEN! If you are interested in a medical hair wig and are financially unable to get assistance to pay for a wig, fill out the form below. Our list is first come, first serve. Applicants will be placed on the waitlist according to the date/year the application is received. You will receive an email with your waitlist position number.
Thank you for submitting! You will receive an email with your waitlist number. If you do not receive an email, please call us at 203-527-0260.