Hair Donation Form

To create your Hair Donation Form, please enter your details below and make sure you've read the Hair Donation Guide (click here to read). When you have completed the form, you can print your Hair Donation Form straightaway or download it for later. Using this online form is quicker for you and quicker for us, however uou can also download a blank form by clicking here.

The name you enter here will appear on the Thank You certificate.

We will record the details you have provided on our hair donation register. Your details will be held confidentially and securely. We will store the details for two years, after which they will be deleted. You are welcome to send your hair anonymously if you prefer, however we will be unable to confirm safe receipt of your donation or email a Thank You certificate to you.