Preliminary Wig Consultation

Name(Required)

First Last

Email Address(Required)

Phone Number(Required)

Reason for wearing wig?(Required)

Thinning, medical necessity, etc?

Will this be your first time wearing a wig?(Required)

Yes

Which type of med cap works best for you?(Required)

Circumference(Required)

Ear to Ear(Required)

Front to Back(Required)

If you are having trouble with this process, don’t worry! We are here to help.

What color, length, and texture are you looking for?(Required)

Please upload a picture of what you have in mind.

Max. file size: 64 MB.

Anything else we need to know?

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