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Gundersen Lutheran Medical Center

Gundersen Lutheran Medical Center

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Each DeltaCard is valid for one treatment only.
Additional DeltaCards can be purchased now or prior to each treatment.
Unused DeltaCards may be returned for a refund. Review full refund policy here.

"*" 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

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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*

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

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Region

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Account Type

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Sales Tax

Gundersen Lutheran Medical Center quantity

SKU: WI-3130 Category: West Tags: Delta, Show on Registration

Description

Description

Gundersen Lutheran Medical Center
La Crosse, WI

Cap 8

POLICIES – REFUND AND WEBSITE PRIVACY POLICY
C 2025

© 2026. All rights reserved.
This website is intended for use by U.S. consumers who plan to use The DigniCap Scalp Cooling System. The content of this website is not intended as professional medical or healthcare advice and should not be construed as a substitute for professional healthcare advice, or services from a qualified professional healthcare provider familiar with your unique situation. This content is intended solely as a general product and corporate information.