brand influencers application

Fill out the quick form below to see if you’re eligible for discounts or freebies in exchange for sharing your experience with Lice Clinics of America. If you are, we’ll reach out—possibly while you’re still in the clinic!

First Name

Last Name

Phone

Instagram Link

Facebook Link

TikTok Link

Content Use Agreement
By submitting this form and tagging our brand in any post, you give Lice Clinics of America permission to use your content (photos, videos, captions, and username) for marketing purposes, online, in print, and in-clinic, without additional approval or compensation.