Download and Print Insurance Packet

Download the appropriate PDF version, print it, complete it and send it back to us with the associated documentation.

Aetna Insurance

Complete Full Packet

Aetna Insurance has particular requirements.  The last couple pages of this document contain information specific to Aetna.  Complete the packet as thoroughly as possible.  ON THE AETNA SPECIFIC PAGES, ALL WE NEED IS YOUR SIGNATURE. We will complete the forms to assure the paperwork goes through the process without issue.  Simply sign where we have the yellow highlights.

 

Signature Forms - Use only if you completed the forms online.

Aetna Insurance has particular requirements.  ALL WE NEED IS YOUR SIGNATURE on the appropriate forms. We will compete the paperwork to assure it goes through the process without issue.  Simply sign where we have the yellow highlights.

Return these by fax or mail. Or you can scan and upload the signed forms here.

 

All Other Insurance Companies

For all other insurance companies, this download this packet. Print it out, complete it, and then return it to Wigs 'n More by fax or mail.
 

Returning the Forms

There are two easy ways to return these insurance forms to us - by mail or by fax.

Return by Mail

Complete the form, sign it, and return it to:

Wigs 'n More, Inc.
5924 Route 981
Suite 3
Latrobe, PA 15650

Return by Fax

Complete the form, sign it, and fax it to:

724-532-0701

DO NOT EMAIL THE FORM
as it contains private information.