Please read the following statements to determine if scalp cooling is a good option for you.


1. I understand that the experience may cause pain or discomfort with cold, which typically diminishes within the first 30 minutes of treatment.

2. I understand there are special hair care/hair maintenance recommendations during treatment.

3. I understand that scheduling of treatment will depend on the availability of a DigniCap machine. 

4. I understand that if I use this service there will be extra time (from 90 minutes to 3 hours) needed for my treatment chair time. 

5. I  understand that I need to work with my nurse to help get my Cooling Wrap and Thermal Cap fit, as teamwork helps to get the best fit possible. 

6. I understand that the goal of treatment with DigniCap is 50% hair loss or less. I am aware that shedding will occur and that the use of DigniCap will not completely prevent hair loss. Hair loss is variable from patient to patient.

7. I understand that insurance may not cover the cost of DigniCap treatments.

8. I have discussed the contraindications and warnings with the use of DigniCap with the provider and understand and agree to accept these risks.