Written by a parent, not a doctor. Nothing here is medical advice.

Children With Hair Loss

Hair Replacement Program · About this organization

What you get

Help with human-hair replacement, complete care kit and hair-care support and education.

How to start

Fill in the online form, upload all documents and photos, and submit. Have photo identification and your doctor's letter ready.

Good to know

  • Doctor letter and identity/photo uploads are required.

The details, as published

B-ALL is in scope Open

Eligible U.S. children and young adults with medically related hair loss may receive a free human-hair replacement and complete care kit each year until age 21.

What help you may get

Practical Items And Home Help

Human-hair replacement and care kit

One human-hair replacement plus a complete care kit and recipient support/education is provided free of charge annually until age 21.

Noncash help · Once Per 12 Months

1 items per 12 months

Can cover

  • Human-hair replacement
  • Complete care kit
  • Hair-care support and education
  • Products and services are free to approved recipients.
  • Services and products are provided annually until age 21.
  • One hair replacement package annually until age 21.

Check the main eligibility rules

Diagnosis

B-ALL is in scope. A child with B-ALL is eligible when treatment causes medically related hair loss and the other published requirements are met.

Age

Age 0 to age 20, measured at application.

  • Applicant must be under age 21.

Treatment status

Active Treatment, Maintenance Treatment, Relapse Or Recurrence, Post Treatment, Survivorship

  • Current treatment is not required if medically related hair loss persists; chemotherapy applicants must include the most recent treatment date in the doctor letter.
  • A doctor must provide a signed and dated letter on letterhead documenting the required medical facts.
  • No income test is published.

Where you live and where your child is treated

Where your family lives

You must live in: United States.

  • Applicant must reside in the United States and be a U.S. citizen or hold U.S. permanent resident visa status.

Where your child is treated

No treatment-location restriction is published.

Where the service, camp, stay, or experience happens
  • United States delivery — The program serves recipients throughout the United States; the delivery location does not add a separate residence rule. — United States

How to get started

Get ready to apply

Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.

Who can start: Parent Or Guardian

  1. Confirm age, U.S. residence/status, and medically related hair-loss eligibility.
  2. Gather identity documents, before/current photos, and head circumference measurement.
  3. Ask the doctor for the required signed and dated letter on letterhead.
  4. Watch the official hair-care videos with everyone who will care for the replacement.
  5. Complete the online form, upload all documents and photos, and submit.
  6. For missing documents or extra photos after submission, email the program and include the applicant's name.

Ways to apply or ask

  • Web Form · Open form or page — Direct official online form linked from the eligibility page.

Documents to prepare

  • Applicant birth certificate, driver's license, or state identification
  • Parent/guardian birth certificate, driver's license, or state identification
  • Doctor letter on letterhead, signed and dated, with applicant name, birthdate, diagnosis, date last seen, and recent chemotherapy date when applicable
  • Before-hair-loss photos and current photos showing hair loss, in good lighting, up to six photos
  • Children With Hair Loss reviews the submitted form and supporting documents and matches an approved recipient with a hair replacement.

Availability and timing

ProgramActive
ApplicationsOpen
Funding or spaceNot Published
Application windowRolling
Last checkedAug 27, 2026
  • The live application form accepted submissions on the verification date.
  • The official application form was open on the verification date.

Limitations and things to confirm

  • Applicant must be under 21, reside in the United States, and be a U.S. citizen or permanent resident.
  • Doctor letter and identity/photo uploads are required.

Official sources

Program details were last verified Aug 27, 2026. Availability can change, so check the official program before applying.

Official program