Frequently Asked Questions

Wishcaps is portable and has been used by patients at treatment centers throughout the United States.
Use remains subject to the approval, policies, space limitations, and safety requirements of your treatment
center.

Confirm permission with the treatment center before your first appointment.

You should discuss scalp cooling with your treating oncology team before ordering. Scalp cooling is not
appropriate for every diagnosis, chemotherapy regimen, or medical circumstance.

Treatment centers may also have their own rules for bringing and using manual cold-cap equipment.

Beginning scalp cooling after chemotherapy has started is generally not recommended because scalp
cooling cannot prevent hair-follicle damage from treatments already received. Some patients who begin
later still report positive results, but the probability of significant shedding or hair loss may be higher.

Contact Wishcaps and discuss your circumstances with your oncology team before deciding whether to
begin after treatment has started.

Order as soon as your first chemotherapy date and treatment regimen are known. Allow enough time for
order review, shipping, kit inspection, and practice before treatment.

FedEx Ground reaches most major U.S. destinations in approximately three to four business days after
shipment, but transit times are estimates. If your first treatment is within 10 days, call Wishcaps at 713-
853-9299 before ordering so we can discuss timing and expedited shipping.

Wishcaps is a manual scalp-cooling system that uses six reusable cold caps. The caps are cooled in the
supplied rolling cooler with dry ice and rotated on a timed schedule before, during, and after
chemotherapy.

The kit includes instructions, patient education, and direct Wishcaps support. Most patients manage the
system independently, although a patient may choose to have help.

Scalp cooling lowers the temperature of the scalp before, during, and after chemotherapy. Cooling
narrows blood vessels near the scalp and may reduce the amount of chemotherapy medication that
reaches the hair follicles.
Scalp cooling may help reduce chemotherapy-related hair loss, but results vary and hair retention is not
guaranteed.

Wishcaps inspects returned kits against the shipment packing list. The lessee may be charged the
documented reasonable repair or replacement cost for missing items or damage beyond normal wear, up
to the complete-kit replacement amount.

If Wishcaps identifies an omitted item, the lessee ordinarily has five calendar days after notice to return it
at the lessee's expense before a final missing-item charge is assessed, unless the item is needed
immediately to return the kit to service.

Standard return shipping is included when you use the prepaid return label and packing instructions
supplied by Wishcaps. Additional costs caused by an unauthorized carrier, unauthorized label, address
problem, or inadequate packing may remain the lessee's responsibility.

Pack every item according to the supplied instructions and use the prepaid return label provided by
Wishcaps. After your final treatment, cancellation, return demand, or termination, tender the package to
the carrier and obtain an acceptance scan within three business days and no later than the final day of the
paid lease period unless Wishcaps agrees otherwise in writing.

Do not leave the package at an unstaffed location without obtaining a carrier acceptance scan.

Send a cancellation request through an accepted written method at least five calendar days before your
next billing date. To prevent the next renewal charge, the complete kit must also receive a carrier
acceptance scan no later than the final day of your current paid lease period.

A cancellation request by itself does not end billing. See the Return and Cancellation Policy and your
Lease Agreement for complete requirements.

The initial 30-day lease begins on the lease start or billing date shown in the accepted Order Summary.
Rent is charged in advance and automatically renews every 30 days until the lease is properly canceled
and the equipment is timely returned.

Expedited shipping may be available for urgent treatment timing. The charge depends on destination,
carrier service, shipment date, and requested arrival date. Wishcaps will disclose the charge before
shipment.

Wishcaps normally ships kits by FedEx Ground. Most major U.S. destinations receive ground shipments in
approximately three to four business days after shipment. Processing and carrier transit times are
estimates and are not guaranteed.

Dry-ice delivery may be available in the greater Houston area for a separate charge. Availability and price
depend on the delivery location and treatment schedule. Contact Wishcaps for a quote.

Dry ice is available from many industrial-gas suppliers, specialty ice companies, and some grocery
locations. Contact suppliers before treatment to confirm availability, hours, purchase limits, and current
pricing.

Wishcaps can help you identify possible suppliers, but independent suppliers are not agents or vendors of
Wishcaps.

No. Dry ice is purchased separately by the patient. Approximately 60 pounds is generally required for
each treatment, although the amount may vary with treatment length and preparation needs.

Wishcaps does not currently require a security deposit. The lessee remains responsible for recurring lease
payments and for documented missing-item, damage, or complete-kit replacement charges permitted by
the Lease Agreement.

The current lease rate is $325 for each 30-day period. The lease renews automatically for successive 30-
day periods until it is properly canceled and the complete equipment is returned as required by the Lease
Agreement.

Dry ice, optional Houston-area dry-ice delivery, expedited shipping, taxes, and charges for lost or
damaged equipment are separate when applicable.

Coverage varies by insurer and plan. If coverage is available, scalp cooling is commonly handled as
reimbursement: the patient pays Wishcaps and then submits documentation to the insurer.

Wishcaps can provide an itemized billing form or other available cost documentation, but it cannot verify
benefits, file a claim on the patient's behalf, or guarantee reimbursement.

No. Scalp cooling may not be appropriate for certain diagnoses, regimens, medical conditions, or scalp
conditions. Only a qualified healthcare professional familiar with your care can advise whether scalp
cooling is appropriate for you.

Some shedding is common even when scalp cooling is effective. Shedding may occur during treatment
and can differ from one cycle to another. Follow the hair-care and cap-fitting guidance supplied with your
kit.

Results differ by medication, dosage, treatment schedule, and individual response. Wishcaps can share
general experience with regimens reported by prior patients, but it cannot determine medical suitability or
predict an individual result.

Discuss your regimen and scalp cooling with your oncology team.

Wishcaps reports that more than 90 percent of participating patients who followed the protocol maintained
the majority of their hair, defined as less than 40 percent shedding. This figure is based on Wishcaps
patient-reported outcomes rather than a controlled clinical trial.

Results vary with chemotherapy regimen, dosage, treatment schedule, individual response, cap fit,
temperature control, and protocol adherence. Hair retention is not guaranteed.

Contact Wishcaps at 713-853-9299. Our team provides equipment and protocol support but cannot
provide medical advice. Direct medical questions or symptoms to your oncology team.

A Wishcaps kit generally includes six reusable cold caps, a rolling cooler, an accessory bag, an infrared
thermometer, a digital timer, dry-ice gloves, straps, liners, instructions, and the other components listed on
the shipment packing list.

The shipment packing list is the controlling inventory for your kit.

Place approximately 60 pounds of dry ice in the supplied rolling cooler with the cold caps the evening
before treatment so the caps can cool overnight. Follow the packing sequence and safety instructions
supplied with the kit.

Dry ice can cause serious cold burns. Use the supplied gloves or other appropriate protective gloves and
handle dry ice only as directed.

Scalp cooling generally begins before chemotherapy, continues during the infusion, and continues for a
post-treatment period. The exact schedule depends on the chemotherapy regimen and the current
Wishcaps protocol.

Follow the written instructions provided with your kit and contact Wishcaps if any timing is unclear.

The caps are rotated on a timed schedule to maintain the required cooling temperature. Follow the
instructions and protocol supplied with your kit. Do not rely on general website information in place of your
patient-specific instructions.

Wishcaps is designed for patient-managed use, and more than 95 percent of Wishcaps patients report
managing treatment without a family member, friend, or paid capper. Individual circumstances differ, and
some patients may prefer or need assistance.

Your oncology team determines what activities are permitted during treatment, and the treatment center
may have its own requirements.