Angelic Crown

We offer hair pieces (wigs) for patients that are facing hair loss due to chemotherapy and/or radiation treatment.

These bags will provide the essentials needed for you to begin your cancer treatment. Most importantly, this will send a message to let our patients know that you are not alone while you fight this battle.

As a non-profit organization, funding depends on the sources of support we receive at any given time. If we do not currently have funding to assist you, our professional staff will always work to refer you to other financial assistance resources.

Hair pieces (wigs), eyelash extensions, and eyebrows for men and women with cancer diagnosis in Florida.

In order to be eligible for financial assistance you must:

• Have a diagnosis of cancer confirmed by an oncology health care provider.
• Be in active treatment for your cancer.
• Live in Florida.
• Meet our eligibility guidelines based on the Federal Poverty Limit.

1. Complete the questionnaire below and once we receive your form back, we will reach out to you to schedule a brief interview.
2. If you are eligible to apply, we will:
   • Email you an individually bar coded application.
   • Request documentation to verify your income. Acceptable proof of income:
     • The first two pages of signed income tax return (you may blacken out your social security number).
     • If you do not file a tax return, you may submit a copy of your most recent pay stub, unemployment check, or SSI, SSD, or public assistance benefit notification.
     • If you do not have any income, provide a letter of support from a friend or family member.
3. You must submit a completed application. Please:
   • Email you an individually bar coded application.
   • Request documentation to verify your income. Acceptable proof of income:
     • Print clearly: illegible applications cannot be processed.
     • Fill in each blank space in the application. Use “no,” “none,” or “0” as appropriate-do not leave any blank responses.
     • Have an oncology health care provider complete all sections of the Medical Information Section and provide a signature and date. You cannot complete this section.
     • Make sure you use the correct email or fax number listed on the application.