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

  1. Complete full packet
  2. Sign bottom left three lines/highlighted lines on Aetna form, DO NOT DATE
  3. Fax or email back
 

Signature Forms - Use only if you completed the forms online

  1. Sign bottom left three lines/highlighted lines on Aetna form, DO NOT DATE
  2. Fax or email back 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.