REGISTER
LOGIN
0 Items
Welcome
My Account
Patient Support Center
Select Page
Home
/
Northeast
/ Mount Sinai West
Mount Sinai West
"
*
" indicates required fields
PLEASE NOTE: As of May 4th, NYP has changed their scalp cooling program. As such, we will not be charging you for any additional treatments, however, you will need to pay for shipping. Please order the rest of your cards in 1 batch. If you are metastatic, please order 5 and then communicate with your infusion center for the rest.
PLEASE NOTE: we have updated our registration and payment system.
If you are starting a new treatment in 2026 you will need to Register again.
Please Click here to Register
PLEASE NOTE: we have updated our registration and payment system.
Please Click here to Login
This field is hidden when viewing the form
Order Date
Order Date
Appointment date
*
Please enter the date of your upcoming scheduled treatment. If exact date is unknown please enter approximate date.
This will be treatment number
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Please enter the number of your next upcoming treatment.
Number of days for Shipping
Do you need to order a DeltaKit?
A DeltaKit must be ordered prior to first treatment. The DigniCap DeltaKit is a single-patient use component of an FDA-regulated medical device. As such it cannot be returned once it is received by a patient – even if it has not been opened or used.
Yes - This is my first treatment and I need to purchase a DeltaKit
No - I have already purchased my DeltaKit
We have updated our ordering platform. If you are starting a new treatment you will need to Register again.
Please Click here to Register
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
DeltaKit
Price:
Your DeltaKit will include your personal Cooling Wrap and Thermal Cap, as well as a detangling Wet Brush, spray bottle, and a Patient Guide.
State and Local Sales Tax
Price:
$0.00
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$300.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$400.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$265.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$275.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$0.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$450.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$250.00
Quantity
DeltaCard Treatment Cards
Quantity
*
Each DeltaCard is valid for one treatment only.
Additional cards can be purchased below or at a later time.
Price:
$200.00
Quantity
Required additional facility fees
Not Applicable
Required additional facility fees
150 Per Treatment Capping Service Fee
Required additional facility fees
100 Per Treatment Capping Service Fee
Required additional facility fees
100 Per Treatment Facility Fee
Required additional facility fees
125 Per Treatment Capping Service Fee
Shipping Option
Your order qualifies for free shipping and should arrive in 2-4 business days. If you need faster shipping, select a shipping option below.
FEDEX 2DAY
FEDEX STND OVRN
Shipping Option
Your order qualifies for free shipping and should arrive in 2-4 business days. If you need faster shipping, select a shipping option below.
FEDEX 2DAY
FEDEX STND OVRN
Shipping Option
Your scheduled treatment date requires next day shipping. There is a $40 fee for this expedited shipping.
FEDEX STND OVRN
Shipping Option
Your scheduled treatment date requires next day shipping. There is a $60 fee for this expedited shipping.
FEDEX STND OVRN
Shipping Option
Use facility emergency supplies
Due to your treatment date, your order will not be shipped. Please use facility emergency supplies.
Total Cost
Notes
Notes
Order Summary
Date
Facility Name
Patient Name
Total Treatments
Regimen
Regimen-Other
Medical Oncologist
SKU
This field is hidden when viewing the form
Region
This field is hidden when viewing the form
Account Type
This field is hidden when viewing the form
Sales Tax
Subtotal
Options
Total
Mount Sinai West quantity
Proceed to Checkout
SKU:
NY-2035
Category:
Northeast
Tags:
Delta
,
Invoice
,
Show on Registration
Description
Description
Mount Sinai West
