6ixth Avenue Hair Club Medical Wig Provider & Clinical Referral Program
Partner with 6ixth Avenue Hair Club to provide custom cranial prosthetics, and emotional support for women and men experiencing medical hair loss.
Who We Care For
✓ Chemotherapy-related hair loss
✓ Alopecia (AA, CCA, traction, postpartum, autoimmune)
✓ Thyroid + hormonal hair loss (PCOS, menopause)
✓ Lupus / autoimmune scalp conditions
✓ Trichotillomania + stress hair loss
Benefits for Providers
HIPAA-Compliant Referral Process – Secure, streamlined referrals that protect patient privacy
Medical-Grade Cranial Prosthetics – High-quality, clinically appropriate solutions for your patients
Letter of Medical Necessity Support – We assist with documentation to facilitate insurance approval
Continuity of Care Updates (Optional) – Stay informed throughout your patient’s journey
Complements Your Treatment Plan – Designed to support, not replace, your clinical approach
Benefits for Patients
Private luxury consultation suite
Realistic appearance, feather-light, and breathable
Guidance with insurance and reimbursement
Scalp treatment paired with empathetic support
Insurance assistance combined with emotional wellness care
OUR CLINICAL-STANDARD SERVICES
Benefits for Providers
HIPAA-Compliant Referral Process – Secure, streamlined referrals that protect patient privacy
Medical-Grade Cranial Prosthetics – High-quality, clinically appropriate solutions for your patients
Letter of Medical Necessity Support – We assist with documentation to facilitate insurance approval
Continuity of Care Updates (Optional) – Stay informed throughout your patient’s journey
Complements Your Treatment Plan – Designed to support, not replace, your clinical approach
Benefits for Patients
Private luxury consultation suite
Realistic appearance, feather-light, and breathable
Guidance with insurance and reimbursement
Scalp treatment paired with empathetic support
Insurance assistance combined with emotional wellness care
Cranial Prosthetics (Medical Wigs)
• Ultra-lightweight, hypoallergenic medical fibers and premium human hair
• HD lace, skin-like polyurethane (PU) bases
• Eligible for insurance coverage (HCPCS A9282 or S8095)
Custom Medical-Safe Wig Installations
• Completely glue-free techniques
• Ventilated, tension-free, and gentle application methods
Infection Control Policy
Specialists are trained in advanced scalp assessment, sterilization procedures, and safe prosthetic fitting for medically fragile clients. We collaborate with dermatologists and oncology care teams to ensure comfort and clinical safety at every step.
How Does The Referral Process Works?
Medical Provider
Provider downloads and submits referral forms
Patient Scheduling
Patient schedules a virtual or in person consultation
Assessment
Client intake assessment
Design & Fitting
Custom cranial prosthetic designed + fitting
INSURANCE DOCUMENTATION
Letter of Medical Necessity
Diagnosis & procedure code list
Sample invoice with HCPCS codes
How to Bill Insurance
RX Referral Form (fillable PDF)
Referral Process Overview
- Provider downloads and completes the referral documentation
- Patient schedules a virtual or in-person consultation
- Confidential intake and assessment conducted
- Custom cranial prosthetic designed and fitted
- Follow-up documentation provided to the referring provider (as applicable)
