We kindly ask our customers to complete the consent form below for the cranial prosthesis.

This form is necessary for us to obtain your consent to contact and speak on your behalf to verify insurance details and to file the claim for your prosthesis. ​

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Currently, the insurances that will pay upfront for our Peruca wigs are Cigna, Aetna, and Blue Cross Blue Shield. Your cooperation ensures a smooth and efficient process, allowing us to provide you with the highest quality service and support.