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Request A Hairpiece

Eligible participants must meet the following qualifications:
  • Child is under the age of 18
  • Experiencing hair loss due to chemotherapy, radiation therapy, burn accidents, alopecia or other medical issues
  • Unable to fully finance a hair piece after checking all possible resources
  • Referred by a medical professional (verified through the Eligibility Application provided by Looks Like Me)
  • Resident of San Diego, or being treated by a hospital in San Diego

If you, or someone you care about, meet the above qualifications, please contact Looks Like Me at (760) 458-3070 or download the application from the link below. Together we can help children look like themselves again.

Send Applications via mail, fax, or email to:
LOOKS LIKE ME
2530 Vista Way #F278
Oceanside, CA 92054
Fax: (760) 458-3070
Email: info@lookslikeme.org

 
Printout of completed form.

Eligibility Application. (PDF)