Qualification

The mission statement of the "For Her Glory" fund is to preserve the dignity, self esteem and sense of well-being of cancer survivors who need wigs, prostheses, mastectomy bras or other items as a result of chemically induced baldness or a mastectomy.  The "For Her Glory" fund seeks to help restore the quality of life for those cancer survivors who cannot financially secure these products through other resources.

 

Eligibility Criteria

  • Individual does not have insurance
  • Insurance will not pay for needed items
  • Individual is economically deprived

Referral Process

Requests must be referred by a doctor of oncology or other health care professional who confirms eligibility requirements have been met.

 

 
 
Application for Wig
For Her Glory Wig Application Form
Step 1:
Make sure you meet the eligibility requirements

Step 2:
Download and complete the mail-in application form

Step 3:
Mail the completed form to:

For Her Glory
C/O The Longstreet Clinic
725 Jesse Jewell Parkway
Suite 270
Gainesville, GA 30501

 

 


In Loving Memory

Glory, Hope & Life

The "For Her Glory" fund is part of
Glory, Hope, & Life
http://gloryhopelife.org