Start Your Application
Hair Dreams by Christal works to help qualifying children and adults access personalized hair replacement solutions when cost may otherwise create a barrier. Use the information below to learn what you’ll need and complete your application.
HAIR REPLACEMENT ASSISTANCE
Apply for Support With Your Hair Replacement Needs.
No Separate Mailing Is Required.
Please redact Social Security numbers, bank account numbers and other unnecessary sensitive information before uploading documents.
Information submitted through this application will be used by Hair Dreams by Christal to review your request for assistance.
Please leave your name, income information and any other information needed to verify eligibility visible.
YOUR PRIVACY MATTERS:
Please Protect Sensitive Information Before Uploading Documents.
Supporting documents can be uploaded directly as part of the online application. You will not need to mail your paperwork separately.
This keeps your application and supporting information together so Hair Dreams can review everything in one place.
Financial Documentation: Please provide documentation that helps verify your current financial circumstances.
This may include:
- Your most recent tax return
- Social Security income documentation
- Public assistance documentation
- Disability income documentation
- Other proof of income
- Documentation that helps explain extenuating financial circumstances
Personal Documentation:
Two Letters of Recommendation - Please provide two letters from references explaining why the applicant could benefit from a hair replacement solution.
To help Hair Dreams review your request for assistance, supporting documentation is required along with your application. Having these items ready before you begin can make the process easier.
WHAT YOU’LL NEED
Please Have Your Supporting Documents Ready Before You Apply.
START YOUR APPLICATION
Complete Your Application Below.
Take your time completing each section and provide the information requested as accurately as possible.
You’ll also have the opportunity to upload your supporting documents before submitting your application.
If you need to locate a document while completing the form, you can return to your application before submitting it.
Once your application and supporting documents have been submitted, Hair Dreams will review the information provided.
If additional information is needed, a member of the Hair Dreams team will contact you using the contact information included in your application.
Submitting an application does not guarantee assistance. Services are based on eligibility, individual circumstances and available funding.
AFTER YOU SUBMIT