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NOMINATE

Is someone you know suffering from hair loss or alopecia and their life or livelihood has been dramatically affected by their hair loss?  Has their family been affected as well? Does this person fall into one of the following categories or is he/she experiencing a similar hair loss crisis or worse?

  • Wears a bad toupee or ugly wig?

  • Has an embarrassing comb over?

  • Suffers from a medical condition?

  • Thinks a baseball cap is the proper
    accessory for a tuxedo?

  • Too embarrassed to come out of
    the house?

  • Will not participate in family outings?

  • Lacks the confidence to pursue
    the career of their dreams?

And you would like him/her to be considered as the “subject” on Hair Loss Confidential, please download and complete the application and e-mail it, along with your photos to:

Download Application Click here to submit your application via email