For Hair Recipients

Hair loss, for whatever reason, is already challenging enough. Finding the right wig shouldn’t be. If you are in need of a wig, fill out the form below. Once we receive your information, here’s what you can expect:

➊ Receive an invitation to a virtual consult

➋ Virtual consult, discuss requirements, style and preferences

➌ Guided recording of measurements (remotely)

➍ Wig in production

➎ Wig to be dispatched to recipient once ready

➏ Follow up virtual consult to discuss any adjustments.

Why choose an artisan made human hair wig over a synthetic mass produced wig? Because there’s a difference

If you have any questions about wigs, wig fitting, or the process of receiving a wig, we would be happy to help you.

Call us anytime at 416-784-5315

Let’s get started — book your virtual assessment

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Thank you for your response. ✨

Thank you for submitting your information. We will return your request shortly.

Name of recipient

Name of parent/guardian (if recipient under 18 years)

Phone

Recipient age

Hair loss condition(required)

Alopecia

Trichotillomania

Chemotherapy

Other

Has the recipient been seen or diagnosed by a doctor for hair loss?

Does the recipient have experience with wearing a wig?

Briefly describe the recipient’s hair prior to hair loss (colour, length, style)

Current address

City/town

Province

Postal code

At this time, Children’s Hair Foundation is only able to service resident of Canada.

YES, I understand that the above contact information is accurate and that a representative of Children’s Hair Foundation will connect with me to schedule a virtual assessment.

YES, I understand that by clicking SUBMIT I am sending my personal information (including name, address, phone number and email) exclusively to Children’s Hair Foundation, and that only a representative of Children’s Hair Foundation will contact me regarding the request made through this form.