Download and Print Insurance Packet
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
Returning the Forms
Return by Mail
Complete the form, sign it, and return it to:
Wigs 'n More, Inc.
5924 Route 981
Latrobe, PA 15650
Return by Fax
Complete the form, sign it, and fax it to:
DO NOT EMAIL THE FORM
as it contains private information.