Are you ordering this wig for a friend or loved one? *
Choose an option Yes No, this is for myself
Relationship
Choose an option Friend Child Sibling Other
Your relationship to the receipent
Choose an option Small Medium Large Custom Measurement Send in Custom Measurement Later
Custom Size: 7 Measurements:
Which Side Does Your Hair Part? (Your Perspective) *
Choose an option Left Center Right None Other
Note: Gold and Silver plans have multidirectional tops. Multidirectional parts can be changed when wet.
Please elaborate on the part you would like? *
Choose an option Light White Light Brown Dark Brown Other
For the skin top, please select which color will best match your natural skin tone
Please describe your preferred scalp color *
Choose an option 10 Inch One Length 12 Inch One Length (+$250.00 ) 14 Inch One Length (+$400.00 ) 16 Inch One Length (+$600.00 ) 18 Inch One Length (+$800.00 ) 20 Inch One Length (+$975.00 ) 22 Inch One Length (+$1,200.00 ) Less than 10-16 Inch 10-16 Inch Layered 12-18 Inch Layered (+$250.00 ) 14-20 Inch Layered (+$400.00 ) 16-22 Inch Layered (+$600.00 ) 18-24 Inch Layered (+$800.00 ) 20-26 Inch Layered (+$975.00 )
Choose your desired wig length.
Choose an option Straight Straight with Body Wavy Curly
Describe your preferred hair color
Please add photos of yourself/ or styles you wish to copy
To add multiple photos hold the Ctrl Key (Command Key for Mac) and select the photos you would like to upload
Choose an option Skin Top Lace Front (+$300.00 ) Full Lace Top (+$350.00 ) All Hand Tied (+$500.00 )
Because full lace tops take longer to create, when choosing the full lace top the rush option will be 7-8 weeks instead of the regular 5-6 weeks rush option
Choose an option 3" x 6" 4" x 5" 5" x 6" 6" x 7" (+$200.00 ) 7" x 8" (+$300.00 ) 8" x 9" (+$400.00 ) 9" x 10" (+$500.00 ) 10"x 10" (+$600.00 )
Please select the size of the area you wish to have covered by the hair piece
***(please note sizes larger than 6" x 7" incur additional charges per each additional inch and sizes 9"x10" and 10"x10" require you to send a head mold.)***
Choose an option 8-11 Weeks Regular(Free) 5-6 Weeks RUSH Service (+$300.00 )
Schedule (Full Lace Top) *
Choose an option 8-11 Weeks Regular(Free) 7-8 Weeks RUSH Service (+$300.00 )
Do you need a Medical Receipt?
Choose an option Yes No
If you are suffering from hair loss your insurance may cover or partially cover a medical wig. Click
here to learn more.
Do you have Blue Cross Blue Shield or HealthPartners Insurance?
Choose an option Blue Cross Blue Shield HealthPartners No
If you have BCBS or HealthPartners insurance we will bill you insurance directly. Depending on your coverage, we will refund the due amount based on the EOB returned from your insurance provider.
If you would like us to bill your insurance directly please complete the following.
Please upload individual images of each of the required documents. - INSURANCE CARD - ID OR DRIVERS LICENSE. - MEDICAL PRESCRIPTION.
How did you hear about us?
Choose an option Google Facebook Instagram TikTok Word of mouth Other