Medical & Hair Professionals

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WELCOME TO THE BALD PROJECT

This project is meant to empower those facing baldness or hair thinning from chemo and radiation, through sharing: first person stories, tips, experiences and information.

The Bald Project is seeking input and advisement from a variety of professionals. Some of the types of types of professionals we are looking to connect with include but are not limited to: oncologists, dermatologists, cosmetologists, hair stylists, hair loss centers, nurses, non-profits, cold cap providers, wig/extention providers, counselors, and cancer centers just to name a few.

If you feel you would like to contribute to the podcast or website, please start by filling out the form below.

This project is open to:
- ALL Cancer Types
- Chemotherapy patients
- Patients who used Cold Caps and Scalp Cooling Systems for retain their hair through chemo
- Radiation patients who's hair was effected in any way such as thinning or bald patches in radiated area

*This project is also open to all races, religions, genders, ages, and sexual orientations
(If I missed any group, just know everyone's story is welcome here)

Email *

First Name *

Last Name *

Cell Phone Number - (xxx)xxx-xxxx *

Business Phone Number - (xxx)xxx-xxxx

Location (City & State -or- City & Country) *

What is your time zone? *

What is the name of your business, practice, organization? *

Website *

I'm interested in: *

Being interviewed for your podcast

Contributing content for your website - photos, video, link to important information

Helping with the project overall such as volunteering time, sponsorship, etc

Other:

Required

15 Minute Phone Call - As a part of the interview process, I like to conduct a 10-15 minute phone call. Do you have time in the next 7-10 days for a call? (Note: if you are outside Arizona or the U.S., the phone call will be conducted through Zoom.us) *

Yes

Im not sure a call is needed. I'll explain below in "Please tell me a little bit about....." question.

Please tell me a little bit about your practice, business or organization and how you'd like to contribute to The Bald Project.

How did you hear about this project? *

Facebook site?

Instagram Handle:

A copy of your responses will be emailed to the address you provided.

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